Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miss. Jackie D. Long, MA, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1821010356

Miss. Jackie D. Long, MA, CCC-SLP is a Speech-Language Pathologist in Oak Harbor, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2006
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
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

390 NE Midway Blvd #B-101
Oak Harbor, WA 98277-2642
Phone: (360) 679-4211
Fax: (360) 279-2545
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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 LL00003493 (WA)

Record details

NPI number1821010356
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC-SLP
Sole proprietorYes
NPI enumeratedJuly 24, 2006
Last updated in NPPESJuly 8, 2007

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