David Max Jackson, M.S., CCC-SLP

NPI #1366544322 in W Lafayette, Indiana

Provider Information

NPI Number
1366544322
Entity Type
Individual
Name
David Max Jackson, M.S., CCC-SLP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Credential
M.S., CCC-SLP
Enumeration Date
Sep 1, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
81 PEREGRINE CT
State
Indiana
ZIP Code
47906-5073
Phone
(765) 426-0220

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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