Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. DEBRA MARLENE JACKSON, MS-CCC/SLP
Active Sole ProprietorSpeech, Language and Hearing Specialist · EDWARDSVILLE, IL
Registration Details
- NPI Number
- 1245282904
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 17, 2006 (19.973912391955 yrs)
- Last Updated
- Aug 23, 2011
- License
-
146003388 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1219 TROY RDEDWARDSVILLE, IL, 620252363Browse IL providers · Browse ZIP 62025
- Phone
- 6189607696
- Fax
- 1309216271
- Primary Specialty
-
Speech, Language and Hearing Specialist
235Z00000X
Other Speech, Language and Hearing Specialist Providers in EDWARDSVILLE, IL
| Name | Credential | NPI |
|---|---|---|
| MS. SHERRI ROBIN LUTTRELL | M.S. CCC-SLP | 1114943883 |
| DIANE FOURDYCE | — | 1841217692 |
| JUDY MARIE SAVANT | M.S. CCC-SLP | 1275664203 |
| JANICE KAY LANTO | SLP | 1063546497 |
| KELLIE R. ALLEN | MS,CCC-SLP | 1134246473 |
| JAMIE COOPER | MA CCC-SLP | 1912193731 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.