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

Individual provider Speech-Language Pathologist · NPI 1558849075

Maria Elena Jackson, MS, CCC-SLP is a Speech-Language Pathologist in Atwater, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2018
What do these letters mean?
MS — Master of Science
A graduate science degree.
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

970 Travertine Way
Atwater, CA 95301-4486
Phone: (209) 614-6731
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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 25334 (CA)

Record details

NPI number1558849075
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorYes
NPI enumeratedAugust 6, 2018
Last updated in NPPESMarch 27, 2024
Certification dateMarch 27, 2024

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