Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jackson Fayette McCullough Jr., BS

Individual provider Speech-Language Pathologist · NPI 1033314760

Mr. Jackson Fayette McCullough Jr., BS is a Speech-Language Pathologist in New Castle, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2007
What do these letters mean?
BS — Bachelor of Science
An undergraduate science degree.

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Practice location Address checks out

1732 Atkinson St
New Castle, PA 16101-1302
Phone: (724) 730-3414
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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 SL001608L (PA)

Record details

NPI number1033314760
Entity typeIndividual (Type 1)
GenderMale
Credentials BS
Sole proprietorYes
NPI enumeratedJune 21, 2007
Last updated in NPPESJuly 9, 2007

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