Individual
CHRISTY DANIELLE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC SLP
Contact information
Practice address
29 N ACADEMY ST, GREENVILLE, SC 29601-2629
(864) 331-1350
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
116020
TX
235Z00000X
Speech-Language Pathologist
Primary
7582
SC
Other
Enumeration date
08/20/2019
Last updated
07/19/2021
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