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

Jacqueline Nicole Phillips, MACCC-SLP

Individual provider Speech-Language Pathologist · NPI 1316459415

Jacqueline Nicole Phillips, MACCC-SLP is a Speech-Language Pathologist in Tyler, Texas. Licensed in Texas. Registered with an NPI since 2017.

Licensed in
TX
In the registry since
2017

Practice location Address checks out

3310 S Broadway Ave Ste 100I
Tyler, TX 75701-7818
Phone: (903) 781-1832
Fax: (877) 798-4959
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 113608 (TX)

Record details

NPI number1316459415
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCC-SLP
Sole proprietorNo
NPI enumeratedOctober 30, 2017
Last updated in NPPESFebruary 26, 2026
Certification dateFebruary 26, 2026

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