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

Individual provider Speech-Language Pathologist · NPI 1396211538

Mrs. Jacqueline Rae Tyrell, MSCCC-SLP is a Speech-Language Pathologist in Sacramento, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2018
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Practice location Address checks out

145 Tivoli Way
Sacramento, CA 95819-1933
Phone: (916) 426-8374
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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 8276 (CA)

Record details

NPI number1396211538
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorYes
NPI enumeratedOctober 15, 2018
Last updated in NPPESOctober 15, 2018

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