Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Jessica Wagner Davault, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1689131542

Jessica Wagner Davault, MSCCC-SLP is a Speech-Language Pathologist in Mansfield, Texas. Licensed in Texas. Registered with an NPI since 2019.

Licensed in
TX
In the registry since
2019

Practice location Address checks out

605 E Broad St
Mansfield, TX 76063-1794
Phone: (817) 299-6300
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 108865 (TX)

Record details

NPI number1689131542
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorNo
NPI enumeratedFebruary 27, 2019
Last updated in NPPESSeptember 16, 2026
Certification dateSeptember 16, 2026

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