Provider / Organization | NPI | Date Certified |
---|---|---|
CASSIDY JACKSON | 1538890835 | 2022-06-20 |
Cassidy Jackson is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1538890835. Registration indicates Cassidy Jackson is a provider of services with a specialization in Speech, Language and Hearing Service Providers, Speech-Language Pathologist (Speech-Language Pathologist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Speech-Language Pathologist, Speech, Language and Hearing Service Providers)
Entity Type | Individual |
Provider Name | Cassidy Jackson M.S., CCC-SLP |
Practice Office Address | 26 PITTSBURGH CIR ELLWOOD CITY, PA US |
Practice Office Telephone | 7247521551 |
Mailing Address | 430 ASCENT DR APT 13203 WEXFORD, PA 150906867 US |
Business Telephone | 4125529578 |
Code | Practice | License No State |
---|---|---|
235Z00000X PRIMARY | Speech, Language and Hearing Service Providers Speech-Language Pathologist Speech-Language Pathologist Speech/Occupational/Physical Therapy/Chiropractor Speech-Language Pathologist Speech, Language and Hearing Service Providers | 016376
PA |