| Doctor Name: | JACLYNN BROOKE ANDERSON |
| NPI Number: | 1962836056 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CF-SLP |
| License Number: | SP#8727 |
| Business Practice Address: | 427 W Centerton Blvd Centerton, AR - 727198701 |
| Business Phone Number: | 4797951260 |
| Business Fax Number: | |
| Mailing Address: | 427 W Centerton Blvd, CENTERTON |
| State: | AR |
| Postal Code: | 727198701 |
| Phone Number: | 4797951260 |
| Fax Number: | |
| NPI Enumeration Date: | 08/26/2013 |
| NPI Last Update Date: | 08/26/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SP#8727 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| 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 |