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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 Llc
Inferred 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