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

Individual provider Speech-Language Assistant · NPI 1609165505

MS. Kemberlee J Jack, CCC-SLP is a Speech-Language Assistant in Houston, Texas. Works from 2 locations. Licensed in Georgia, Louisiana and Texas.

Licensed in
GA, LA, TX
In the registry since
2011
Specialties on file
4
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

16562 Beckland Ln
Houston, TX 77084-6541
Phone: (214) 519-4984
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1241 Shadybrook Dr, Baton Rouge, LA 70816-1273 — (337) 308-5565

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 115500 (TX)
Speech-Language Assistant Taxonomy 2355S0801X · Licence 35825 (TX)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence SLP010119 (GA)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 8201 (LA)

Record details

NPI number1609165505
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedMarch 31, 2011
Last updated in NPPESMay 11, 2021
Certification dateMay 11, 2021

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