Provider Demographics
NPI:1558154765
Name:Y'BARBO, JACQUELINE KAYLIE
Entity type:Individual
Prefix:
First Name:JACQUELINE
Middle Name:KAYLIE
Last Name:Y'BARBO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:544 PINE COVE RD
Mailing Address - Street 2:
Mailing Address - City:ELM GROVE
Mailing Address - State:LA
Mailing Address - Zip Code:71051-8786
Mailing Address - Country:US
Mailing Address - Phone:935-615-7103
Mailing Address - Fax:
Practice Address - Street 1:13855 RIVER RD
Practice Address - Street 2:
Practice Address - City:LULING
Practice Address - State:LA
Practice Address - Zip Code:70070-6220
Practice Address - Country:US
Practice Address - Phone:985-785-3155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-28
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist