Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacqueline Gavagan, MSSLP-CCC

Individual provider Speech-Language Pathologist · NPI 1689807737

Jacqueline Gavagan, MSSLP-CCC is a Speech-Language Pathologist in Brooklyn, New York. Practices as a sole proprietor. Licensed in New Jersey and New York.

Licensed in
NJ, NY
In the registry since
2009
Specialties on file
2
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Practice location Address checks out

649 39th St
Brooklyn, NY 11232
Phone: (718) 972-0880
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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 011732-1 (NY)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 41YS00511400 (NJ)

Record details

NPI number1689807737
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSSLP-CCC
Sole proprietorYes
NPI enumeratedAugust 24, 2009
Last updated in NPPESAugust 24, 2009

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