SearchIllinoisSpeech-Language Pathologist

Debra Jackson, MS-CCC/SLP

NPI 1245282904 · on the registry since 2006 · sole proprietor

Practice

Address
1219 Troy Rd
Edwardsville, IL 62025
Phone
(618) 960-7696
Fax
(130) 921-6271

Registry record

Primary taxonomy
Speech-Language Pathologist
235Z00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-08-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois