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

Individual provider Speech-Language Pathologist · NPI 1710544119

Mary Grace Jaques, MED, CCC-SLP is a Speech-Language Pathologist in Jefferson, Georgia. Works from 2 locations. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
MED — Master of Education
A graduate education degree, written M.Ed.
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

40 Professional Dr
Jefferson, GA 30549-6333
Phone: (114) 170-6367
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 280 Gaines School Rd, Athens, GA 30605-3156 — (706) 548-7296

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SLP010476

Record details

NPI number1710544119
Entity typeIndividual (Type 1)
GenderFemale
Credentials MED , CCC-SLP
Sole proprietorNo
NPI enumeratedMay 22, 2019
Last updated in NPPESMay 22, 2019

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