IndividualActive
Amelia Jackson, M.S., SLP-CCC
NPI 1407664402 · Speech-Language Pathologist · Eagle Mountain, UT
Provider details
- NPI number
- 1407664402
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- M.S., SLP-CCC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 12333349-4102 (UT)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
18406 W White Quest Dr
Eagle Mountain, UT 84013-9701
Phone: (801) 335-4699
Approximate (ZIP-level) locationGet directions
Mailing address
138 E 12300 S Unit 933
Draper, UT 84020-7976
Additional practice locations (1)
- 138 E 12300 S Unit 933Draper, UT 84020-7976Phone: (385) 352-3983
Registry dates
- Enumerated
- 2024-12-21
- Last updated
- 2025-08-28
- Certified
- 2025-08-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.