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

Jamie Marie Park, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1740995406

Jamie Marie Park, CCC-SLP is a Speech-Language Pathologist in Groton, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

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

See every abbreviation used in this directory →

Practice location Address checks out

164 Wyman Rd
Groton, MA 01450-1402
Phone: (978) 382-2592
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 78179 (MA)

Record details

NPI number1740995406
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorYes
NPI enumeratedJanuary 17, 2023
Last updated in NPPESJanuary 17, 2023
Certification dateJanuary 17, 2023

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