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

Individual provider Speech-Language Pathologist · NPI 1659980175

Stephanie Lynn Jackson, MS, CCC-SLP is a Speech-Language Pathologist in Christiansburg, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2020
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

750 Imperial St
Christiansburg, VA 24073-5309
Phone: (540) 382-5100
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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 2202008325 (VA)

Record details

NPI number1659980175
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorYes
NPI enumeratedJuly 30, 2020
Last updated in NPPESJuly 30, 2020
Certification dateJuly 30, 2020

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