Search › Washington › Speech-Language Pathologist
Jacqueline Diercks
NPI 1295960144 · on the registry since 2009
Practice
- Address
- 6511 Ne 18th St
Vancouver, WA 98661 - Phone
- (360) 759-4917
- Fax
- (360) 759-4921
- Organisation at this address
- Autism Empowerment
Arc Of Clark CountyInferred from a shared address, not stated in the registry. - Clinicians at this address
- 12
Registry record
- Primary taxonomy
- Speech-Language Pathologist
235Z00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2009-05-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington