| Doctor Name: | MS. JACLYN CANO |
| NPI Number: | 1043488042 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | SLPL5757 |
| Business Practice Address: | 553 Plaza Circle Litchfield Park, AZ - 85340 |
| Business Phone Number: | 6235356000 |
| Business Fax Number: | |
| Mailing Address: | 6610 N. 93rd Avenue, 2071 GLENDALE |
| State: | AZ |
| Postal Code: | 85305 |
| Phone Number: | 6232033736 |
| Fax Number: | |
| NPI Enumeration Date: | 02/13/2008 |
| NPI Last Update Date: | 02/13/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SLPL5757 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |