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

Scott Bryan Jackson, MS, CCCSLP

Individual provider Speech-Language Pathologist · NPI 1356496707

Scott Bryan Jackson, MS, CCCSLP is a Speech-Language Pathologist in Blue Point, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
What do these letters mean?
MS — Master of Science
A graduate science degree.

See every abbreviation used in this directory →

Practice location Address checks out

235 Blue Point Ave Little Angels Ctr
Blue Point, NY 11715-1203
Phone: (631) 363-5794
Fax: (631) 363-8046
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 016099-1 (NY)

Record details

NPI number1356496707
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , CCCSLP
Sole proprietorNo
NPI enumeratedJanuary 24, 2007
Last updated in NPPESJuly 8, 2007
Mailing address235 Blue Point Ave, Little Angels Center, Blue Point, NY 11715-1203

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