Susan T Jackson in Stilwell - Speech-language Pathologist
Susan T Jackson - NPI 1255449658
Susan T Jackson is a Speech-language Pathologist in Stilwell, Kansas. Susan T Jackson practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Susan T Jackson is 1255449658. The last update date is 2009-06-12.
Susan T Jackson's current location address is Po Box 307, Stilwell, Kansas. You can contact this provider via phone number 9135224894 and fax number 7133449420. The mailing address for Susan T Jackson is Po Box 307, Stilwell, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan T Jackson |
|---|---|
| Address | Po Box 307, Stilwell, Kansas |
| Phone Number | 9135224894 |
| Fax Number | 7133449420 |
| Sole Proprietor | N |
| Credentials | PHD, MSC |
NPI Number Detail
| NPI Number | 1255449658 |
|---|---|
| Provider Enumeration Date | 2006-08-26 |
| Last Updated Date | 2009-06-12 |
Provider Mailing Address Detail
| Address | Po Box 307 |
|---|---|
| City | Stilwell |
| State | Kansas (KS) |
| Post Code | 660850307 |
| Phone Number | 9135224894 |
| Fax Number | 7133449420 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 480 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 18427026 | IND. BCBS PROVIDER NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Susan T Jackson by the Centers for Medicare & Medicaid Services?
The Susan T Jackson has been assigned the NPI (National Provider Identifier) 1255449658 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Susan T Jackson?
The Susan T Jackson is situated at Po Box 307, in the city of Stilwell, state of KS, with the zip code 660850307.
What is Susan T Jackson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Susan T Jackson's area of specialization is Speech-language Pathologist, and the corresponding taxonomy code that categorizes this field of practice is 235Z00000X.
On what date did the Susan T Jackson receive the assignment of its 1255449658 from the Centers for Medicare & Medicaid Services?
The Susan T Jackson was issued its 1255449658 by the Centers for Medicare & Medicaid Services on 2006-08-26.
As of what date was the information regarding Susan T Jackson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Susan T Jackson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-06-12.