Jacquelyn S. Dewaal, M.A., CCC-SLP
NPI 1104474089ActiveIndividual· Speech-Language Pathologist· Allegan, MI
Speech-Language Pathologist (M.A., CCC-SLP) in Allegan, Michigan, licensed in MI, with an NPI issued in September 2019.
Overview
| NPI | 1104474089 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.A., CCC-SLP |
| Sole proprietor | No |
| NPI issued | Sep 3, 2019 |
| Last updated in NPPES | Feb 16, 2022 |
| Certified by provider | Feb 16, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 7101006797 | MI |
| Speech-Language Pathologist | 235Z00000X | 7101006233 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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