Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Danielle Jackson

Individual provider Speech-Language Pathologist · NPI 1649637356

Danielle Jackson is a Speech-Language Pathologist in Mesa, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2016
Specialties on file
2

Practice location Address checks out

2150 S Country Club Dr Ste 20
Mesa, AZ 85210-6809
Phone: (480) 398-4280
Fax: (480) 398-4281
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SLP9811 (AZ)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence TSLP9811 (AZ)

Record details

NPI number1649637356
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 26, 2016
Last updated in NPPESApril 21, 2026
Certification dateApril 21, 2026
Mailing addressPo Box 50218, Phoenix, AZ 85076-0218

Other providers in Mesa