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

Individual provider Speech-Language Pathologist · NPI 1578693099

Mrs. Jacqueline Anne Wade, SLP-CCC is a Speech-Language Pathologist in Carbondale, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2007
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Practice location Address checks out

3006 W Kent Dr
Carbondale, IL 62901-1921
Phone: (618) 549-7784
Fax: (618) 549-7784
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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 (IL)

Record details

NPI number1578693099
Entity typeIndividual (Type 1)
GenderFemale
Credentials SLP-CCC
Sole proprietorYes
NPI enumeratedMarch 6, 2007
Last updated in NPPESJuly 8, 2007

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