Individual
HEATHER JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
3780 N GARFIELD AVE STE 102, LOVELAND, CO 80538-2237
(970) 663-3222
Mailing address
1878 GUNNISON PL, LOVELAND, CO 80538-2981
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP.0003086
CO
Other
Enumeration date
07/10/2015
Last updated
06/05/2019
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