Amber Dawn Jackson, MS, CCC-SLP

Speech-Language Pathologist · Altus, OK

Individual Active NPI

NPI number 1417255704

Practice location

1200 E Pecan St
Altus, OK 73521-6141
Phone
(580) 379-5820
Fax
(580) 379-5829

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NPI record

NPI
1417255704
Entity type
Individual (Type 1)
Enumeration date
March 10, 2011
Last updated
March 10, 2011
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X 2939 OK

Mailing address

3716 Regal Dr
Altus, OK 73521-5024
Phone
(580) 471-0737

About Amber Jackson

Amber Dawn Jackson, MS, CCC-SLP is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 1200 E Pecan St, Altus, OK 73521-6141. The NPI number 1417255704 was assigned on March 10, 2011 and the record was last updated on March 10, 2011.

Amber Jackson lists a license in the registry: #2939 (OK) 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 Amber Dawn Jackson, MS, CCC-SLP?

The NPI number is 1417255704.

What is the phone number of Amber Jackson?

The phone number listed for the practice location is (580) 379-5820.

Where is Amber Jackson located?

1200 E Pecan St, Altus, OK 73521-6141.

What is the taxonomy code for Amber 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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