Individual
COURTNEY LEIGH JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1109 FAYETTEVILLE RD, VAN BUREN, AR 72956-3363
(479) 474-6444
Mailing address
6218 HICKORY LN, FORT SMITH, AR 72916-8848
(479) 221-7808
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
AR
Other
Enumeration date
10/17/2017
Last updated
06/07/2024
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