Roberta A Jackson in Spokane - Speech-language Pathologist
Roberta A Jackson - NPI 1073641213
Roberta A Jackson is a Speech-language Pathologist in Spokane, Washington. Roberta A Jackson practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Roberta A Jackson is 1073641213. The last update date is 2007-07-08.
Roberta A Jackson's current location address is 310 N. Riverpoint Blvd, Spokane, Washington. You can contact this provider via phone number 5093587584 and fax number 5093686890. The mailing address for Roberta A Jackson is 310 N. Riverpoint Blvd, Spokane, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Roberta A Jackson |
|---|---|
| Address | 310 N. Riverpoint Blvd, Spokane, Washington |
| Phone Number | 5093587584 |
| Fax Number | 5093686890 |
| Sole Proprietor | N |
| Credentials | CCC-SLP |
NPI Number Detail
| NPI Number | 1073641213 |
|---|---|
| Provider Enumeration Date | 2007-03-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 310 N. Riverpoint Blvd |
|---|---|
| City | Spokane |
| State | Washington (WA) |
| Post Code | 992021675 |
| Phone Number | 5093587584 |
| Fax Number | 5093686890 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | LL00002995 |
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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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What is the unique identification code assigned to Roberta A Jackson by the Centers for Medicare & Medicaid Services?
The Roberta A Jackson has been issued the NPI (National Provider Identifier) 1073641213. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Roberta A Jackson's facilities are geographically located?
The facilities of Roberta A Jackson are physically situated at the following location: 310 N. Riverpoint Blvd, Spokane, WA, 992021675.
What is Roberta A Jackson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Roberta A Jackson is Speech-language Pathologist, and the taxonomy code that classifies this field of practice is 235Z00000X.
On what date did the Roberta A Jackson receive the assignment of its 1073641213 from the Centers for Medicare & Medicaid Services?
The Roberta A Jackson was issued its 1073641213 by the Centers for Medicare & Medicaid Services on 2007-03-01.
When was the information related to Roberta A Jackson most recently updated or refreshed?
The details pertaining to the Roberta A Jackson, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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