Kendall Jackson, SLP

Speech-Language Pathologist · East Point, GA

Individual Active NPI

NPI number 1477818342

Practice location

3485 N Desert Dr Ste 105
East Point, GA 30344-5724
Phone
(678) 724-7033
Fax
(678) 302-7357

Open in Google Maps

NPI record

NPI
1477818342
Entity type
Individual (Type 1)
Enumeration date
July 6, 2012
Last updated
August 18, 2023
Certified
August 18, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X SLP008103 GA

Mailing address

3460 Somerset Trl SW
Atlanta, GA 30331-7935
Phone
(864) 323-7445

About Kendall Jackson

Kendall Jackson, SLP is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 3485 N Desert Dr Ste 105, East Point, GA 30344-5724. The NPI number 1477818342 was assigned on July 6, 2012 and the record was last updated on August 18, 2023.

Kendall Jackson lists a license in the registry: #SLP008103 (GA) 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 Kendall Jackson, SLP?

The NPI number is 1477818342.

What is the phone number of Kendall Jackson?

The phone number listed for the practice location is (678) 724-7033.

Where is Kendall Jackson located?

3485 N Desert Dr Ste 105, East Point, GA 30344-5724.

What is the taxonomy code for Kendall 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.

Other Speech-Language Pathologist providers in East Point

All Speech-Language Pathologist providers in East Point, GA →