IndividualActive
Jacquelyne Keriako, BS
NPI 1770717316 · Speech-Language Assistant · Grand Rapids, MI
Provider details
- NPI number
- 1770717316
- Entity type
- Individual
- Primary specialty
- Speech-Language AssistantSpeech, Language and Hearing Service Providers
- Credential
- BS
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
1490 E Beltline Ave Se
Grand Rapids, MI 49506-4336
Phone: (616) 940-0040
Fax: (616) 940-8151
Approximate (ZIP-level) locationGet directions
Mailing address
1490 E Beltline Ave Se
Grand Rapids, MI 49506-4336
Registry dates
- Enumerated
- 2009-05-12
- Last updated
- 2009-05-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.