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

Individual provider Speech-Language Pathologist · NPI 1902574536

Taylor Jackson, CCC-SLP is a Speech-Language Pathologist in Brooklyn, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2021
What do these letters mean?
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

4715 18th Ave
Brooklyn, NY 11204-1206
Phone: (718) 633-3061
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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 030410 (NY)

Record details

NPI number1902574536
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorYes
NPI enumeratedAugust 30, 2021
Last updated in NPPESAugust 30, 2021
Certification dateAugust 8, 2021

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