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

Individual provider Speech-Language Pathologist · NPI 1548801103

Katie Tackaberry, CCC-SLP is a Speech-Language Pathologist in Sparta, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2019
What do these letters mean?
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

10 Gail Ct
Sparta, NJ 07871-3439
Phone: (973) 579-6980
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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 41YS00884700 (NJ)

Record details

NPI number1548801103
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorYes
NPI enumeratedOctober 4, 2019
Last updated in NPPESOctober 4, 2019
Mailing address1706 White Pine Ct, Cedar Knolls, NJ 07927-1336

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