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

Individual provider Speech-Language Pathologist · NPI 1952476822

MS. Petrina F Jackson, MS, CCC-SLP is a Speech-Language Pathologist in Blue Island, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2006
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

12224 Fairway Cir Unit A
Blue Island, IL 60406-3611
Phone: (708) 824-9524
Fax: (708) 824-9524
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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 (IL)

Record details

NPI number1952476822
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorYes
NPI enumeratedNovember 22, 2006
Last updated in NPPESJuly 8, 2007

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