| Doctor Name: | MRS. JACKLYN ZASTROW MCDONALD |
| NPI Number: | 1548325525 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CCC-SLP |
| License Number: | SLP1321 |
| Business Practice Address: | 1010 State St Mccall, ID - 836383704 |
| Business Phone Number: | 2086345909 |
| Business Fax Number: | 2086345956 |
| Mailing Address: | Po Box 1512, MCCALL |
| State: | ID |
| Postal Code: | 836381512 |
| Phone Number: | 2086348030 |
| Fax Number: | |
| NPI Enumeration Date: | 12/27/2006 |
| NPI Last Update Date: | 11/29/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SLP1321 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| 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 |