MS. Petrina F Jackson, M.S., CCC-SLP
NPI #1952476822 in Blue Island, Illinois
Provider Information
- NPI Number
- 1952476822
- Entity Type
- Individual
- Name
- MS. Petrina F Jackson, M.S., CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.S., CCC-SLP
- Enumeration Date
- Nov 22, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 12224 FAIRWAY CIR
- Address 2
- UNIT A
- City
- Blue Island
- State
- Illinois
- ZIP Code
- 60406-3611
- Phone
- (708) 824-9524
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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