Individual
ROYCE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CF-SLP
Contact information
Practice address
868 KINGSLAND AVE, SAINT LOUIS, MO 63130-3181
(844) 518-9663
Mailing address
2445 LINDSAY LN, FLORISSANT, MO 63031-5629
(314) 762-8038
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/29/2023
Last updated
09/29/2023
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