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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. JACQULYN BRECKOW, SLP

Deactivated Sole Proprietor

MRS. JACQULYN BRECKOW, SLP is a Speech, Language and Hearing Specialist healthcare provider located in GILBERT, Arizona. NPI 1689737421 is deactivated in the NPPES registry. Verify at CMS.

Speech, Language and Hearing Specialist · GILBERT, AZ

This NPI has been deactivated. The record was deactivated on June 18, 2010. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1689737421
Provider Type
Individual
Gender
Female
NPI Issued
Dec 19, 2006 (3.4958904109589 yrs)
Last Updated
Dec 18, 2012
Deactivated
Jun 18, 2010
License
TSLP4726 (AZ)
Sole Proprietor
Yes

Practice Information

Address
690 E WARNER RD
SUITE #105
GILBERT, AZ, 852963054
Browse AZ providers · Browse ZIP 85296
Phone
4808206366
Fax
4808200462
Primary Specialty
Speech, Language and Hearing Specialist
235Z00000X

Other Speech, Language and Hearing Specialist Providers in GILBERT, AZ

Name Credential NPI
DEBORAH ANN POWELL SPT 1053363069
VICKI ANN JENSEN CCC/SLP-L 1366481269
MRS. JENNIFER C GOODMAN 1336224468
MRS. DEBORAH A. WILTON 1174696744
PATRICIA KELLY 1568535045
JENNIFER FAY 1104999465
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.