Dara Jackson in Houston - Speech-language Pathologist

Dara Jackson - NPI 1275662488

Dara Jackson is a Speech-language Pathologist in Houston, Missouri. Dara Jackson practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Dara Jackson is 1275662488. The last update date is 2007-07-08.

Dara Jackson's current location address is 423 W Pine St, Houston, Missouri. You can contact this provider via phone number 4179673196 and fax number 4179674479. The mailing address for Dara Jackson is 423 W Pine St, Houston, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Dara Jackson
Address 423 W Pine St, Houston, Missouri
Phone Number 4179673196
Fax Number 4179674479
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1275662488
Provider Enumeration Date 2007-03-05
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 423 W Pine St
City Houston
State Missouri (MO)
Post Code 654831147
Phone Number 4179673196
Fax Number 4179674479

Provider's Primary Taxonomy Detail

Speciality Speech-language Pathologist
Taxonomy 235Z00000X
Licence No 2003012220
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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FAQs about Dara Jackson

What is the unique provider identifier assigned to Dara Jackson?

The Dara Jackson has been issued the NPI (National Provider Identifier) 1275662488 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Dara Jackson?

The Dara Jackson is physically situated at 423 W Pine St, in the city of Houston, state of MO, with the postal code 654831147.

What is Dara Jackson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Dara Jackson is Speech-language Pathologist, and the taxonomy code that categorizes this field of expertise is 235Z00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1275662488 to Dara Jackson?

The Centers for Medicare & Medicaid Services originally issued the 1275662488 to Dara Jackson on 2007-03-05.

When was the Dara Jackson's information last updated?

The Dara Jackson's information was last updated on 2007-07-08.

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