Phyllis Jackson, S.T.

NPI #1154473684 in Walker, Louisiana

Provider Information

NPI Number
1154473684
Entity Type
Individual
Name
Phyllis Jackson, S.T.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Credential
S.T.
Enumeration Date
Jan 17, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
9384 FLORIDA BOULEVARD
Address 2
SUITE F
City
Walker
ZIP Code
70785
Phone
(225) 791-0911

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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