Mrs. Tara Michele Jackson, MA, CCC-SLP
Mrs. Tara Michele Jackson, MA, CCC-SLP is a Speech-Language Pathologist in Charlotte, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.
- Licensed in
- NC
- In the registry since
- 2006
What do these letters mean?
Practice location Address checks out
3403 Linden Berry LnCharlotte, NC 28269-1300
Phone: (704) 258-1724
Fax: (704) 598-3024
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Specialties & licences
| Speech-Language Pathologist (primary) | Taxonomy 235Z00000X · Licence 5772 (NC) |
|---|
Record details
| NPI number | 1114973559 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MA , CCC-SLP |
| Sole proprietor | Yes |
| NPI enumerated | May 26, 2006 |
| Last updated in NPPES | July 2, 2011 |
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