Londyn Andrea Jackson

Speech-Language Pathologist · Woodbridge, VA

Individual Active NPI

NPI number 1164077921

Practice location

15500 Benita Fitzgerald Dr
Woodbridge, VA 22193-8523
Phone
(703) 583-4195

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NPI record

NPI
1164077921
Entity type
Individual (Type 1)
Enumeration date
August 7, 2019
Last updated
September 4, 2019
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X 2204000315 VA

Mailing address

4059 Tarpon Ln
Woodbridge, VA 22193-2332
Phone
(703) 600-9302

Other practice locations (1)

  • 2019 Cunningham Dr Ste 104, Hampton, VA 23666-3316 · (757) 869-7559

About Londyn Jackson

Londyn Andrea Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 15500 Benita Fitzgerald Dr, Woodbridge, VA 22193-8523. The NPI number 1164077921 was assigned on August 7, 2019 and the record was last updated on September 4, 2019.

Londyn Jackson lists a license in the registry: #2204000315 (VA) 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 Londyn Andrea Jackson?

The NPI number is 1164077921.

What is the phone number of Londyn Jackson?

The phone number listed for the practice location is (703) 583-4195.

Where is Londyn Jackson located?

15500 Benita Fitzgerald Dr, Woodbridge, VA 22193-8523.

What is the taxonomy code for Londyn 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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