Individual provider · Type 1 NPI

Genette Jackson

Speech-Language Pathologist · Beltsville, MD

NPI number 1104399096 Active

Practice location

11011 Cherry Hill Rd
Beltsville, MD 20705-3801

Mailing address

3715 40th Pl
Brentwood, MD 20722-1610

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X07511 (MD)

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 1104399096

Genette Jackson's National Provider Identifier is 1104399096, issued on Jan 3, 2019. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Beltsville, MD. The record was last updated on Jan 3, 2019.