Individual provider · Type 1 NPI

Tara Michele Jackson, MA, CCC-SLP

Speech-Language Pathologist · Charlotte, NC

NPI number 1114973559 Active

Practice location

3403 Linden Berry Ln
Charlotte, NC 28269-1300

Fax (704) 598-3024

Mailing address

3403 Linden Berry Lane
Charlotte, NC 28269-1300

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X5772 (NC)

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 1114973559

Tara Michele Jackson, MA, CCC-SLP's National Provider Identifier is 1114973559, issued on May 26, 2006. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Charlotte, NC. The record was last updated on Jul 2, 2011.