Most Relevant Information
Provider Data
| NPI Number: | 1003387374 |
| Provider Name: | MACY NOELLE JACKEL MA, CF-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/16/2018 |
| Last Updated: | 01/16/2019 |
Provider Practice Location
330 FALCONER DR STE D
COVINGTON
LA
704338211
Practice Location Phone/Fax
| Phone: | 9859002305 |
| Fax: |
Provider Mailing Location
PO BOX 9170
MANDEVILLE
LA
704709170
Provider Mailing Phone/Fax
| Phone: | 5044197004 |
| Fax: |