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KRISTY ANN JACK CCC NPI 1750020350


NPI Information

NPI: 1750020350
Provider Name: KRISTY ANN JACK, CCC
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Individual
Address:
2500 S STATE ST
SOUTH SALT LAKE, UT
ZIP 84115
Phone: (385) 646-0545
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Kristy Ann Jack, CCC is a speech language pathologist in South Salt Lake, UT. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. Kristy Ann Jack, CCC NPI is 1750020350. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2500 S STATE ST
SOUTH SALT LAKE, UT
ZIP 84115-164
Phone: (385) 646-0545

The enumeration date for this NPI number is 6/1/2022 and was last updated on 6/1/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1235Z00000XSpeech-Language Pathologist9438741-4102UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.