Dara Jackson

Speech-Language Pathologist · Houston, MO

Individual Active NPI

NPI number 1275662488

Practice location

423 W Pine St
Houston, MO 65483-1147
Phone
(417) 967-3196
Fax
(417) 967-4479

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NPI record

NPI
1275662488
Entity type
Individual (Type 1)
Enumeration date
March 5, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X 2003012220 MO

About Dara Jackson

Dara Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 423 W Pine St, Houston, MO 65483-1147. The NPI number 1275662488 was assigned on March 5, 2007 and the record was last updated on July 8, 2007.

Dara Jackson lists a license in the registry: #2003012220 (MO) 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 Dara Jackson?

The NPI number is 1275662488.

What is the phone number of Dara Jackson?

The phone number listed for the practice location is (417) 967-3196.

Where is Dara Jackson located?

423 W Pine St, Houston, MO 65483-1147.

What is the taxonomy code for Dara 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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