Individual
AMELIA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., SLP-CCC
Contact information
Practice address
18406 W WHITE QUEST DR, EAGLE MOUNTAIN, UT 84013-9701
(801) 335-4699
Mailing address
138 E 12300 S UNIT 933, DRAPER, UT 84020-7976
(385) 352-3983
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12333349-4102
UT
Other
Enumeration date
12/21/2024
Last updated
08/28/2025
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