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

Individual provider Speech-Language Pathologist · NPI 1780911743

Carly B Jackson, MSCCC-SLP is a Speech-Language Pathologist in Cheney, Washington. Licensed in Washington. Registered with an NPI since 2009.

Licensed in
WA
In the registry since
2009
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Practice location Address checks out

12414 S Andrus Rd
Cheney, WA 99004-8607
Phone: (509) 559-4507
Fax: (509) 559-4517
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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 LL60083435 (WA)

Record details

NPI number1780911743
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorNo
NPI enumeratedNovember 12, 2009
Last updated in NPPESSeptember 13, 2013
Mailing address12414 S Andrus Rd, Cheney, WA 99004-8607

Other providers in Cheney