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

Individual provider Speech-Language Pathologist · NPI 1255609509

Mrs. Jennifer Marie Wallmark, CCC-SLP is a Speech-Language Pathologist in Lodi, California. Licensed in California. Registered with an NPI since 2011.

Licensed in
CA
In the registry since
2011
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

8 S Cambridge Dr
Lodi, CA 95242-3212
Phone: (209) 327-8788
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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 18168 (CA)

Record details

NPI number1255609509
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedDecember 1, 2011
Last updated in NPPESJanuary 3, 2022

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