Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alexandra Maynard Jackson, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1487336921

Alexandra Maynard Jackson, CCC-SLP is a Speech-Language Pathologist in Wichita, Kansas. Practices as a sole proprietor. Licensed in Kansas.

Licensed in
KS
In the registry since
2023
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

929 N Saint Francis Ave
Wichita, KS 67214-3821
Phone: (316) 268-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 5347 (KS)

Record details

NPI number1487336921
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorYes
NPI enumeratedAugust 3, 2023
Last updated in NPPESAugust 3, 2023
Certification dateAugust 3, 2023

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