Individual
EMILY DIANA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1012 24TH AVE NW, NORMAN, OK 73069-6490
(140) 560-1430
Mailing address
1012 24TH AVE NW, NORMAN, OK 73069-6490
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/22/2026
Last updated
05/22/2026
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