Carly B Jackson, MS CCC-SLP
NPI #1780911743 in Cheney, Washington
Provider Information
- NPI Number
- 1780911743
- Entity Type
- Individual
- Name
- Carly B Jackson, MS CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MS CCC-SLP
- Enumeration Date
- Nov 12, 2009
- Last Updated
- Sep 13, 2013
Practice Location
- Address
- 12414 S ANDRUS RD
- City
- Cheney
- State
- Washington
- ZIP Code
- 99004-8607
- Phone
- (509) 559-4507
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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