MEDICARE: JACLYN COCAGNE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	14760	CA

General Provider Information

NPI Number	:	1053996694
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JACLYN COCAGNE

Provider Business Mailing Address
First Line	:	8518 JEAN ANNE ST
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93314-8585
Country	:	US
Telephone Number	:	661-809-7700
Fax Number	:

Provider Business Practice Location Address
First Line	:	1701 WESTWIND DR STE 122
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93301-3046
Country	:	US
Telephone Number	:	661-800-1894
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/15/2021
Last Update Date	:	12/18/2025

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Directions to “ JACLYN COCAGNE ” Practice Location

Language	Start Address	Practice Location

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