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

Individual provider Speech-Language Pathologist · NPI 1790005791

Demetria Jackson, CCC-SLP is a Speech-Language Pathologist in Brunswick, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2010
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

157 Coral Dr
Brunswick, GA 31523-8951
Phone: (912) 689-4382
Fax: (888) 875-2884
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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 SLP007195 (GA)

Record details

NPI number1790005791
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorYes
NPI enumeratedJune 2, 2010
Last updated in NPPESFebruary 4, 2022
Certification dateFebruary 4, 2022

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