Provider Demographics
NPI:1447735717
Name:DROLET, JACLYN VICTORIA (AUD)
Entity Type:Individual
Prefix:DR
First Name:JACLYN
Middle Name:VICTORIA
Last Name:DROLET
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3113 LAWTON RD STE 109
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803-3519
Mailing Address - Country:US
Mailing Address - Phone:407-898-2220
Mailing Address - Fax:877-769-2047
Practice Address - Street 1:3113 LAWTON RD STE 109
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-3519
Practice Address - Country:US
Practice Address - Phone:407-898-2220
Practice Address - Fax:877-769-2047
Is Sole Proprietor?:No
Enumeration Date:2018-10-02
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1849231H00000X
FLAY2426231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist