Individual provider · Type 1 NPI

Kelly Green Jackson, S.L.P.

Speech-Language Pathologist · Lake Park, GA

NPI number 1083632467 Active

Practice location

5314 Moss Oak Trl
Lake Park, GA 31636-3300

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000XSA8681 (FL)

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1083632467

Kelly Green Jackson, S.L.P.'s National Provider Identifier is 1083632467, issued on Jul 17, 2006. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Lake Park, GA. The record was last updated on Jan 27, 2025.