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

Mr. Steven Jackson I, MEDCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1760643134

Mr. Steven Jackson I, MEDCCC-SLP is a Speech-Language Pathologist in Raleigh, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2008

Practice location Address checks out

100 Monie Ln
Raleigh, NC 27601-1560
Phone: (919) 821-1822
Fax: (919) 829-3735
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 7932 (NC)

Record details

NPI number1760643134
Entity typeIndividual (Type 1)
GenderMale
Credentials MEDCCC-SLP
Sole proprietorYes
NPI enumeratedJune 19, 2008
Last updated in NPPESJune 19, 2008

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