Individual
JACQUELYN GASSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
39453 FORD RD, CANTON, MI 48187-4320
(248) 277-3005
Mailing address
39453 FORD RD, CANTON, MI 48187-4320
(248) 277-3005
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101008374
MI
235Z00000X
Speech-Language Pathologist
7152000316
MI
Other
Enumeration date
05/26/2020
Last updated
01/12/2026
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