Mrs Jacquelyn S Dewaal, MA, CCC-SLP is a
Speech-language Pathologist based in Allegan, Michigan. Mrs Jacquelyn S Dewaal is licensed to practice in Michigan (license number 7101006797) and her current practice location is
1096 34th St, Allegan, Michigan. She can be reached at her office (for appointments etc.) via phone at
(269) 365-3279.
NPI number for Mrs Jacquelyn S Dewaal is 1104474089 and her current mailing address is 1096 34th St, Allegan, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104474089.
Healthcare Provider's Profile
Full Name | Mrs Jacquelyn S Dewaal |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 1096 34th St, Allegan, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1104474089
- Provider Enumeration Date: 09/03/2019
- Last Update Date: 02/16/2022
Medical Identifiers
Medical identifiers for Mrs Jacquelyn S Dewaal such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104474089 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 7101006233 (Michigan) | Secondary |
235Z00000X | Speech-language Pathologist | 7101006797 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jacquelyn S Dewaal is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Jacquelyn S Dewaal, MA, CCC-SLP 1096 34th St, Allegan, MI 49010-9305 Ph: (269) 365-3279 | Mrs Jacquelyn S Dewaal, MA, CCC-SLP 1096 34th St, Allegan, MI 49010-9305 Ph: (269) 365-3279 |
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