Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Lauren Michelle Jack, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1770912263

Mrs. Lauren Michelle Jack, MS, CCC-SLP is a Speech-Language Pathologist in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2013.

Licensed in
TX
In the registry since
2013
What do these letters mean?
MS — Master of Science
A graduate science degree.
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

100 N University Dr
Fort Worth, TX 76107-1360
Phone: (817) 814-2000
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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 109539 (TX)

Record details

NPI number1770912263
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorNo
NPI enumeratedNovember 5, 2013
Last updated in NPPESMay 16, 2022
Certification dateMay 16, 2022

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