NPI 1023360500

Jarrett Roux Jackson, MEDCCCSLP

Practitioner Speech-Language Pathologist Tucker, GA

Practice location

Address: 3756 Lavista Rd Suite 104, Tucker, GA 30084-5614
Phone: (404) 477-9400

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 007403 (GA)

Other Speech-Language Pathologist providers in Georgia →

Registry record

NPI: 1023360500
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Oct 2012
Record last updated: 9 Oct 2012

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.