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

Mrs. Jackie Lynn Mathiesen, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1952441602

Mrs. Jackie Lynn Mathiesen, MSCCC-SLP is a Speech-Language Pathologist in Avondale, Arizona. Licensed in Arizona. Registered with an NPI since 2007.

Licensed in
AZ
In the registry since
2007

Practice location Address checks out

12409 W Indian School Rd Ste C306
Avondale, AZ 85323-9508
Phone: (623) 935-6040
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 SLP4480 (AZ)

Record details

NPI number1952441602
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorNo
NPI enumeratedFebruary 8, 2007
Last updated in NPPESJuly 8, 2007

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