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

MS. Jacqueline Kay Diercks

Individual provider Speech-Language Pathologist · NPI 1295960144

MS. Jacqueline Kay Diercks is a Speech-Language Pathologist in Vancouver, Washington. Licensed in Washington. Registered with an NPI since 2009.

Licensed in
WA
In the registry since
2009

Practice location Address checks out

6511 NE 18th St
Vancouver, WA 98661-6869
Phone: (360) 759-4917
Fax: (360) 759-4921
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 460776H (WA)

Record details

NPI number1295960144
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 21, 2009
Last updated in NPPESMay 21, 2009

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