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

Individual provider Speech-Language Pathologist · NPI 1528333143

Kandice Jackson is a Speech-Language Pathologist in Dallas, Texas. Practices as a sole proprietor. Licensed in California and Texas.

Licensed in
CA, TX
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

6301 Gaston Ave Ste 750
Dallas, TX 75214-3922
Phone: (214) 295-5374
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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 114858 (TX)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 7315 (CA)

Record details

NPI number1528333143
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 15, 2012
Last updated in NPPESJanuary 23, 2019
Mailing address1071 Lake Carolyn Pkwy Apt 4082, Irving, TX 75039-4874

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