Whalio Doctors

NPI 1013332535

Jennifer Jackson, MACCCSLP

Practitioner Speech-Language Pathologist Castle Rock, CO

Practice location

Address
1105 McMurdo Cir, Castle Rock, CO 80108-2821
Phone
(720) 308-4543

Registered specialties

Speech-Language Pathologist Primary
Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence SLP.0001700 (CO)

Registry record

NPI
1013332535
Entity type
Individual
Sex (as registered)
Female
NPI issued
19 Feb 2014
Record last updated
5 Jun 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.