Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAVID MAX JACKSON, M.S., CCC-SLP
Active Sole ProprietorDAVID MAX JACKSON, M.S., CCC-SLP is a Speech, Language and Hearing Specialist healthcare provider located in W LAFAYETTE, Indiana. NPI 1366544322 is currently active in the NPPES registry. Verify at CMS.
Speech, Language and Hearing Specialist · W LAFAYETTE, IN
Registration Details
- NPI Number
- 1366544322
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 1, 2006 (19.956441819495 yrs)
- Last Updated
- Jul 8, 2007
- License
-
22002292A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
81 PEREGRINE CTW LAFAYETTE, IN, 479065073Browse IN providers · Browse ZIP 47906
- Phone
- 7654260220
- Primary Specialty
-
Speech, Language and Hearing Specialist
235Z00000X
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.