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

Individual provider Speech-Language Pathologist · NPI 1831021971

Mrs. Amy Thistle Tackett, CCC-SLP is a Speech-Language Pathologist in Marina, California. Licensed in California. Registered with an NPI since 2026.

Licensed in
CA
In the registry since
2026
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

298 Patton Pkwy
Marina, CA 93933-6007
Phone: (831) 220-1763
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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 21919 (CA)

Record details

NPI number1831021971
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedJune 2, 2026
Last updated in NPPESJune 2, 2026
Certification dateJune 2, 2026

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