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Jaclyn Brothers

NPI 1194254235ActiveIndividual· Speech-Language Pathologist· Mesa, AZ

Speech-Language Pathologist in Mesa, Arizona, licensed in AZ and CA, with an NPI issued in June 2017.

Overview

NPI1194254235
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedJun 11, 2017
Last updated in NPPESJul 21, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary235Z00000XSLP10555AZ
Speech-Language Pathologist235Z00000XSP25120CA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Speech-Language Pathologist providers in Mesa

All Speech-Language Pathologist providers in Arizona →