Individual
COURTNEY JACKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
848 ADAMS AVE, MEMPHIS, TN 38103-2816
(901) 287-4300
(901) 287-4350
Mailing address
848 ADAMS AVE, MEMPHIS, TN 38103-2816
(901) 287-4300
(901) 287-4350
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3356
TN
235Z00000X
Speech-Language Pathologist
7723
MA
Other
Enumeration date
06/09/2009
Last updated
04/16/2020
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