Scott Bryan Jackson, M.S., CCC SLP

Speech-Language Pathologist · Blue Point, NY

Individual Active NPI

NPI number 1356496707

Practice location

235 Blue Point Ave
Little Angels Center
Blue Point, NY 11715-1203
Phone
(631) 363-5794
Fax
(631) 363-8046

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NPI record

NPI
1356496707
Entity type
Individual (Type 1)
Enumeration date
January 24, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X 016099-1 NY

About Scott Jackson

Scott Bryan Jackson, M.S., CCC SLP is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 235 Blue Point Ave, Little Angels Center, Blue Point, NY 11715-1203. The NPI number 1356496707 was assigned on January 24, 2007 and the record was last updated on July 8, 2007.

Scott Jackson lists a license in the registry: #016099-1 (NY) 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 Scott Bryan Jackson, M.S., CCC SLP?

The NPI number is 1356496707.

What is the phone number of Scott Jackson?

The phone number listed for the practice location is (631) 363-5794.

Where is Scott Jackson located?

235 Blue Point Ave, Little Angels Center, Blue Point, NY 11715-1203.

What is the taxonomy code for Scott 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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