Jackie Havens
NPI #1770396145 in El Centro, California
Provider Information
- NPI Number
- 1770396145
- Entity Type
- Individual
- Name
- Jackie Havens
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Jan 29, 2025
- Last Updated
- Jan 29, 2025
Practice Location
- Address
- 1402 W PICO AVE STE A30
- City
- El Centro
- State
- California
- ZIP Code
- 92243-1377
- Phone
- (760) 259-5316
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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