Search › Florida › 235Z00000X
Carla Jackson, PH.D, CCC-SLP
NPI 1558554055 · on the registry since 2007
Practice
- Address
- 600 W College Ave
Fsu Speech & Hearing Clinic
Tallahassee, FL 32306 - Phone
- (850) 645-6567
- Fax
- (850) 644-8994
- Organisation at this address
- Premium Medical Associates Healthcare Llc
Premium Medical Associates Healthcare LlcInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-08-20
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 Florida