Healthcare Provider Details

I. General information

NPI: 1205951225
Provider Name (Legal Business Name): JACLYN S. GAUGER MA, CCC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 ROUND HILL RD CLARKE SCHOOL FOR THE DEAF
NORTHAMPTON MA
01060-2123
US

IV. Provider business mailing address

45 ROUND HILL RD CLARKE SCHOOL FOR THE DEAF
NORTHAMPTON MA
01060-2123
US

V. Phone/Fax

Practice location:
  • Phone: 412-582-1175
  • Fax: 413-587-0383
Mailing address:
  • Phone: 412-582-1175
  • Fax: 413-587-0383

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number314
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code231HA2500X
TaxonomyAssistive Technology Supplier Audiologist
License Number314
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code231HA2400X
TaxonomyAssistive Technology Practitioner Audiologist
License Number314
License Number StateMA
# 4
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number314
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: