Search › Maryland › 101YP2500X
Wanda Jackson
NPI 1497069900 · on the registry since 2010 · sole proprietor
Practice
- Address
- 2018 Rock Spring Rd
A6
Forest Hill, MD 21050 - Phone
- (410) 838-2493
- Fax
- (410) 838-2547
- Organisation at this address
- Phoenix Speech Therapy, Llc
Family And Couple Therapy Services, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 31
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101YP2500X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-07-27
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 Maryland