Celeste Jackson in Cumming - Speech-language Pathologist
Celeste Jackson - NPI 1255389649
Celeste Jackson is a Speech-language Pathologist in Cumming, Georgia. Celeste Jackson practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Celeste Jackson is 1255389649. The last update date is 2007-07-09.
Celeste Jackson's current location address is 4220 Stackstone Dr, Cumming, Georgia. You can contact this provider via phone number 4046419019. The mailing address for Celeste Jackson is 4220 Stackstone Dr, Cumming, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Celeste Jackson |
|---|---|
| Address | 4220 Stackstone Dr, Cumming, Georgia |
| Phone Number | 4046419019 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1255389649 |
|---|---|
| Provider Enumeration Date | 2006-05-05 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 4220 Stackstone Dr |
|---|---|
| City | Cumming |
| State | Georgia (GA) |
| Post Code | 300415644 |
| Phone Number | 4046419019 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | SLP004817 |
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Definition: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00836998B | GA | -- |
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What is the unique 10-digit identification code issued to Celeste Jackson by the Centers for Medicare & Medicaid Services?
The Celeste Jackson has been assigned the NPI (National Provider Identifier) 1255389649 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Celeste Jackson located?
The Celeste Jackson is located at 4220 Stackstone Dr, Cumming, GA 300415644.
What is the Celeste Jackson's specialty and taxonomy code?
The Celeste Jackson's specialty is Speech-language Pathologist, and the corresponding taxonomy code is 235Z00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1255389649 to Celeste Jackson?
The Centers for Medicare & Medicaid Services originally issued the 1255389649 to Celeste Jackson on 2006-05-05.
When was the information regarding Celeste Jackson most recently updated?
The details pertaining to the Celeste Jackson, including its address, specialty, and other relevant information, were last refreshed on 2007-07-09.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY