Individual provider · Type 1 NPI
Dorothy Machelle Jackson
Speech-Language Assistant · Sikeston, MO
NPI number
1548023252
Active
Practice location
1310 E Salcedo Rd
Sikeston, MO 63801-5049
Mailing address
1497 County Highway 714
East Prairie, MO 63845-8106
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Assistant Primary | 2355S0801X | 2021004309 (MO) |
Speech-Language Assistant: Definition to come...
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About NPI 1548023252
Dorothy Machelle Jackson's National Provider Identifier is 1548023252, issued on Feb 5, 2024. The primary taxonomy on file is Speech-Language Assistant (2355S0801X), and the practice location is in Sikeston, MO. The record was last updated on Feb 5, 2024.