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

Individual provider Speech-Language Pathologist · NPI 1417197344

Irene Shetzline Jackson, MACCCSLP is a Speech-Language Pathologist in Arlington, Virginia. Practices as a sole proprietor. Licensed in Maryland and Virginia.

Licensed in
MD, VA
In the registry since
2009
Specialties on file
2
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Practice location Address checks out

1006 S Columbus St
Arlington, VA 22204-3424
Phone: (703) 772-2449
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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 2202004915 (VA)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 4622 (MD)

Record details

NPI number1417197344
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCCSLP
Sole proprietorYes
NPI enumeratedMarch 5, 2009
Last updated in NPPESMarch 5, 2009

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