Provider Demographics
NPI:1245381888
Name:BIGGERS, JACQULYN (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:JACQULYN
Middle Name:
Last Name:BIGGERS
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11340 W BURNING SAGE ST
Mailing Address - Street 2:
Mailing Address - City:MARANA
Mailing Address - State:AZ
Mailing Address - Zip Code:85653-8138
Mailing Address - Country:US
Mailing Address - Phone:520-975-0112
Mailing Address - Fax:
Practice Address - Street 1:MUSD SPECIAL EDUCATION
Practice Address - Street 2:11279 W. GRIER RD.
Practice Address - City:MARANA
Practice Address - State:AZ
Practice Address - Zip Code:85653
Practice Address - Country:US
Practice Address - Phone:520-682-4782
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZTSLP4798235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist