Individual
JACQUELYN R. GLEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
S.L.P.
Contact information
Practice address
1150 S BASCOM AVE, SUITE 8, SAN JOSE, CA 95128-3509
(408) 885-9000
(408) 885-9009
Mailing address
1150 S BASCOM AVE, SUITE 8, SAN JOSE, CA 95128-3509
(408) 885-9000
(408) 885-9009
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
17648
CA
Other
Enumeration date
01/27/2011
Last updated
06/25/2012
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