John Jackson
John Jackson is a Speech-Language Pathologist in Maitland, Florida. Practices as a sole proprietor. Licensed in Massachusetts.
- Licensed in
- MA
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
2143 Mohawk TrlMaitland, FL 32751-3950
Phone: (407) 782-5219
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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 77541 (MA) |
|---|---|
| Speech-Language Pathologist | Taxonomy 235Z00000X |
Record details
| NPI number | 1063073310 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 27, 2019 |
| Last updated in NPPES | April 15, 2020 |
| Certification date | April 15, 2020 |
| Mailing address | 2143 Mohawk Trl, Maitland, FL 32751-3950 |
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