Jaclyn Park
Jaclyn Park is a Speech-Language Pathologist in Austin, Texas. Licensed in Texas. Registered with an NPI since 2010.
- Licensed in
- TX
- In the registry since
- 2010
Practice location Address checks out
4607 Manchaca RdAustin, TX 78745-1607
Phone: (512) 916-1511
Fax: (512) 916-1532
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Speech-Language Pathologist (primary) | Taxonomy 235Z00000X · Licence 105397 (TX) |
|---|
Record details
| NPI number | 1609189315 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 22, 2010 |
| Last updated in NPPES | July 22, 2010 |
| Mailing address | 4607 Manchaca Rd, Austin, TX 78745-1607 |
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