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NPI Code Detail

MEDICARE: JACQUELYN GASSER MA, CCC-SLP

MEDICARE: JACQUELYN GASSER MA, CCC-SLP
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
1235Z00000XSpeech-Language Pathologist7152000316MI
2235Z00000XSpeech-Language Pathologist7101008374MI

General Provider Information

NPI Number : 1811510878
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACQUELYN GASSER MA, CCC-SLP
Provider Business Mailing Address
First Line : 39453 FORD RD
Second Line :
City : CANTON
State : MI
Zip : 48187-4320
Country : US
Telephone Number : 248-277-3005
Fax Number :
Provider Business Practice Location Address
First Line : 39453 FORD RD
Second Line :
City : CANTON
State : MI
Zip : 48187-4320
Country : US
Telephone Number : 248-277-3005
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2020
Last Update Date : 01/12/2026

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Directions to “ JACQUELYN GASSER MA, CCC-SLP” 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.

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