MEDICARE: JAQUELYN HEALY

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

General Provider Information

NPI Number	:	1104755636
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAQUELYN HEALY

Provider Business Mailing Address
First Line	:	2201 CARRIE AVE
Second Line	:
City	:	RICE LAKE
State	:	WI
Zip	:	54868-3073
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2201 CARRIE AVE
Second Line	:
City	:	RICE LAKE
State	:	WI
Zip	:	54868-3073
Country	:	US
Telephone Number	:	715-234-8065
Fax Number	:

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

Provider Enumeration Date	:	05/19/2026
Last Update Date	:	05/19/2026

Similar Medicare Providers

1114919677 — DR. CAROLYN K KHA OD
Practice Location Address:

4927 LAKE RIDGE PKWY , SUITE NUMBER 160
GRAND PRAIRIE, TX
75052-3073

Practice Phone: 972-641-5900
Practice Fax: 972-641-5903

1609800911 — MARSHA COX
Practice Location Address:

4927 LAKE RIDGE PKWY
GRAND PRAIRIE, TX
75052-3073

Practice Phone: 972-641-9000
Practice Fax:

1558450452 — LAKE RIDGE EYE CARE PA
Practice Location Address:

4927 LAKE RIDGE PKWY , STE. 160
GRAND PRAIRIE, TX
75052-3073

Practice Phone: 972-641-5900
Practice Fax: 972-641-5903

1114145513 — BABE BLACK LCSW
Practice Location Address:

3073 SALT LAKE RD
INDIANAPOLIS, IN
46214-1432

Practice Phone: 317-296-4187
Practice Fax:

1023260494 — JULIE M SHEREDA
Practice Location Address:

5758 COOLEY LAKE RD
WATERFORD, MI
48327-3073

Practice Phone: 855-466-3631
Practice Fax: 810-244-0226

1417493065 — JESSICA MCDIARMID FNP
Practice Location Address:

5758 COOLEY LAKE RD
WATERFORD, MI
48327-3073

Practice Phone: 855-466-3631
Practice Fax: 810-244-0226

Directions to “ JAQUELYN HEALY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.