NPI Registry.org

Cassidy Jackson

NPI Registration Record

Provider / OrganizationNPIDate Certified
CASSIDY JACKSON15388908352022-06-19

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 TypeIndividual
Provider Name Cassidy Jackson M.S., CCC-SLP
Practice Office Address26 PITTSBURGH CIR
ELLWOOD CITY, PA US
Practice Office Telephone7247521551
Mailing Address430 ASCENT DR APT 13203
WEXFORD, PA 150906867 US
Business Telephone4125529578
HPT Codes
CodePractice
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
OPI Codes
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