Amber Dawn Jackson MS, CCC-SLP

NPI 1417255704 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1417255704
Gender Female
Enumeration Date 03/10/2011
Last Updated 03/10/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
1200 E PECAN ST
ALTUS OK, 73521-6141, US
Phone (580) 379-5820
Fax (580) 379-5829
Business Location
3716 REGAL DR
ALTUS OK, 73521-5024, US
Phone (580) 471-0737
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Oklahoma
License Number 2939
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According to our database, Mrs. Amber Dawn Jackson MS, CCC-SLP NPI is 1417255704, taxonomy code is 235Z00000X and license number is 2939, license state is located at Oklahoma. Amber Dawn Jackson MS, CCC-SLP physically located at 1200 E Pecan St, Altus OK, 73521-6141. NPI Number Amber Dawn Jackson MS, CCC-SLP has the Individual type.

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1417255704 NPI number is provided on an as is basis without warranty of any kind. 1417255704 is maintained by the National Plan & Provider Enumeration System. The contents of Amber Dawn Jackson MS, CCC-SLP are for informational purposes only.