Individual
NATALIE ALEECE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
7540 N 19TH AVE STE 200, PHOENIX, AZ 85021-7967
(888) 873-4221
(888) 543-2289
Mailing address
6589 W STONES CROSSING RD, GREENWOOD, IN 46143-9117
(214) 223-0142
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
19716
TX
235Z00000X
Speech-Language Pathologist
Primary
22004557A
IN
Other
Enumeration date
12/06/2007
Last updated
12/06/2007
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