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

Individual provider Speech-Language Pathologist · NPI 1730420407

Natalie Marie Jackson is a Qualified Speech Language Pathologist in Erie, Pennsylvania. Qualified in 1997, 29 years ago. Practices with Niagara Therapy LLC, a 15-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
29
Licensed in
PA
In the registry since
2013
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Practice location Address checks out

100 Barber Pl
Erie, PA 16507-1863
Phone: (814) 878-4111
Fax: (814) 874-5505
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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 SL010920 (PA)

Record details

NPI number1730420407
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 6, 2013
Last updated in NPPESMarch 6, 2013
Mailing address100 Barber Pl, Contracting Box 92, Erie, PA 16507-1863

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Niagara Therapy Llc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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