Teresa A Jackson in Hayti - Speech-language Pathologist
Teresa A Jackson - NPI 1609096965
Teresa A Jackson is a Speech-language Pathologist in Hayti, Missouri. Teresa A Jackson practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Teresa A Jackson is 1609096965. The last update date is 2009-02-23.
Teresa A Jackson's current location address is 1317 State Highway 84, Hayti, Missouri. You can contact this provider via phone number 5733590021 and fax number 5733596525. The mailing address for Teresa A Jackson is 1317 State Highway 84, Hayti, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Teresa A Jackson |
|---|---|
| Address | 1317 State Highway 84, Hayti, Missouri |
| Phone Number | 5733590021 |
| Fax Number | 5733596525 |
| Sole Proprietor | N |
| Credentials | MA CCC SLP |
NPI Number Detail
| NPI Number | 1609096965 |
|---|---|
| Provider Enumeration Date | 2007-04-27 |
| Last Updated Date | 2009-02-23 |
Provider Mailing Address Detail
| Address | 1317 State Highway 84 |
|---|---|
| City | Hayti |
| State | Missouri (MO) |
| Post Code | 638511666 |
| Phone Number | 5733590021 |
| Fax Number | 5733596525 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 109221 |
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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 |
|---|---|---|---|
| 464450006 | MO | -- |
Post Comment/ Review Below
What is the Teresa A Jackson's unique identification number?
The Teresa A Jackson has been assigned the NPI (National Provider Identifier) Number 1609096965 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Teresa A Jackson is geographically located?
The Teresa A Jackson is physically situated at the following location: 1317 State Highway 84, Hayti, MO, 638511666.
What is Teresa A Jackson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Teresa A 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 Centers for Medicare & Medicaid Services issue the 1609096965 to Teresa A Jackson?
The Teresa A Jackson received its 1609096965 assignment from the Centers for Medicare & Medicaid Services on 2007-04-27.
As of what date were the details pertaining to Teresa A Jackson last refreshed?
The information related to the Teresa A Jackson, including its address, specialty, and other relevant details, was last updated on 2009-02-23.
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