Jacqulyn Breckow , SLP
Speech-Language Pathologist • Gilbert, AZ
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jacqulyn Breckow has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Jacqulyn Breckow, SLP was a registered Speech-Language Pathologist practicing in Gilbert, AZ. Throughout an active medical career spanning 4 years, Jacqulyn Breckow provided care at the practice location at 690 E WARNER RD until profile deactivation on 2010-06-18.
Practice Location & Contact Primary Location
690 E Warner Rd
Suite #105
Gilbert, AZ 852963054
Specialty Benchmarks & Practice Insights
Comparative analytics for Speech-Language Pathologist in Gilbert, AZ
Practicing in Gilbert, AZ (4584 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 235Z00000X
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.
Additional State Medicaid & Healthcare Payer Identifiers
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Speech-Language Pathologist
MACCCSLP
Speech-Language Pathologist
MASTERSCOMMUNICATIO
Speech-Language Pathologist
MACCCSLP
Occupational Therapist
Occupational Therapist - Pediatrics
Master of Occupational Therapy, Occupational Therapist Registered, L
Speech-Language Pathologist
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 690 E WARNER RD, SUITE #105, GILBERT, AZ 852963054 (Tel: 4808206366)
Registered at 690 E WARNER RD, SUITE #105, GILBERT, AZ 852963054 (Tel: 4808206366)
Recorded as JACQULYN BRECKOW, SLP
Speech-Language Pathologist (License #TSLP4726 in AZ)
Record officially reactivated for active practice on November 02, 2012
Record deactivated on June 18, 2010
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
690 E Warner Rd, Suite #105
Gilbert, AZ 852963054
Phone: 4808206366
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