NPI 1154473684

Phyllis Jackson, ST

Practitioner Speech-Language Pathologist Walker, LA

Practice location

Address: 9384 Florida Boulevard Suite F, Walker, LA 70785
Phone: (225) 791-0911
Fax: (225) 791-1977

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 941 (LA)

Other Speech-Language Pathologist providers in Louisiana →

Registry record

NPI: 1154473684
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Jan 2007
Record last updated: 8 Jul 2007

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.