Individual provider · Type 1 NPI

Danielle Jackson

Speech-Language Pathologist · Mesa, AZ

NPI number 1649637356 Active

Practice location

2150 S Country Club Dr, Suite 20
Mesa, AZ 85210-6809

Fax (480) 398-4281

Mailing address

PO Box 50218
Phoenix, AZ 85076-0218

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000XSLP9811 (AZ)
Speech-Language Pathologist 235Z00000XTSLP9811 (AZ)

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 1649637356

Danielle Jackson's National Provider Identifier is 1649637356, issued on Jan 26, 2016. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Mesa, AZ. The record was last updated on Apr 21, 2026.