Organization
JACKSON JADE & ASSOCIATES, A SPEECH PATHOLOGY CORPORATION
Active
Other names
Jackson Jade Speech, Occupational & Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE FIRBY MS CCC-SLP (PRESIDENT)
(888) 808-7838
Entity
Organization
Contact information
Practice address
188 FRONT ST STE 116-126, FRANKLIN, TN 37064-5078
(888) 808-7838
(866) 620-3943
Mailing address
249 E OCEAN BLVD STE 400, LONG BEACH, CA 90802-4806
(888) 808-7838
(866) 620-3943
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/30/2009
Last updated
01/24/2025
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