NPI 1790909653

Taniesha M Jackson

Practitioner Speech-Language Pathologist East Cleveland, OH

Practice location

Address: 1835 Belmore Rd, East Cleveland, OH 44112-4301
Phone: (216) 268-3600
Fax: (216) 851-7363
Mailing address: 2914 Cambridge Cir, Wickliffe, OH 44092-3018

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence SP8464 (OH)

Other Speech-Language Pathologist providers in Ohio →

Registry record

NPI: 1790909653
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Apr 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.