Bianca Jackson
NPI #1114306016 in Baton Rouge, Louisiana
Provider Information
- NPI Number
- 1114306016
- Entity Type
- Individual
- Name
- Bianca Jackson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- May 26, 2015
- Last Updated
- Jul 31, 2019
Practice Location
- Address
- 1832 STANOCOLA DR
- City
- Baton Rouge
- State
- Louisiana
- ZIP Code
- 70807-3047
- Phone
- (225) 614-6773
Specialties & Taxonomy Codes
| Specialty |
|---|
| Developmental Therapist |
| Speech-Language Pathologist |
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