Individual
ANGELA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. SLP-CCC
Contact information
Practice address
2667 ENTERPRISE RD, RENO, NV 89512-1666
(775) 688-1341
Mailing address
2667 ENTERPRISE RD, RENO, NV 89512-1666
(775) 688-1341
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-NV 1739
NV
Other
Enumeration date
10/21/2015
Last updated
10/21/2015
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