Maridyth Marginia Jackson, M.S.

Speech-Language Pathologist · St Petersburg, FL

Individual Active NPI

NPI number 1033545041

Practice location

11901 10TH Way N
#3307
St Petersburg, FL 33716-1510
Phone
(559) 288-0713

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NPI record

NPI
1033545041
Entity type
Individual (Type 1)
Enumeration date
September 23, 2013
Last updated
September 23, 2013
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X 12567 FL

About Maridyth Jackson

Maridyth Marginia Jackson, M.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 11901 10TH Way N, #3307, St Petersburg, FL 33716-1510. The NPI number 1033545041 was assigned on September 23, 2013 and the record was last updated on September 23, 2013.

Maridyth Jackson lists a license in the registry: #12567 (FL) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Maridyth Marginia Jackson, M.S.?

The NPI number is 1033545041.

What is the phone number of Maridyth Jackson?

The phone number listed for the practice location is (559) 288-0713.

Where is Maridyth Jackson located?

11901 10TH Way N, #3307, St Petersburg, FL 33716-1510.

What is the taxonomy code for Maridyth Jackson?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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