Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jaclyn Thompson, MA, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1407562515

Jaclyn Thompson, MA, CCC-SLP is a Speech-Language Pathologist in Fort Wayne, Indiana. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

2015 Saint Louis Ave
Fort Wayne, IN 46819-2037
Phone: (260) 267-0259
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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

Record details

NPI number1407562515
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC-SLP
Sole proprietorNo
NPI enumeratedJanuary 24, 2023
Last updated in NPPESJanuary 24, 2023
Certification dateJanuary 24, 2023

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