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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

IRENE SHETZLINE JACKSON, M.A. CCCSLP

Active Sole Proprietor

IRENE SHETZLINE JACKSON, M.A. CCCSLP is a Speech, Language and Hearing Specialist healthcare provider located in ARLINGTON, Virginia. NPI 1417197344 is currently active in the NPPES registry. Verify at CMS.

Speech, Language and Hearing Specialist · ARLINGTON, VA

Registration Details

NPI Number
1417197344
Provider Type
Individual
Gender
Female
NPI Issued
Mar 5, 2009 (17.405420397 yrs)
Last Updated
Mar 5, 2009
Licenses
2202004915 (VA)
4622 (MD)
Sole Proprietor
Yes

Practice Information

Address
1006 S COLUMBUS ST
ARLINGTON, VA, 222043424
Browse VA providers · Browse ZIP 22204
Phone
7037722449
Primary Specialty
Speech, Language and Hearing Specialist
235Z00000X

Other Speech, Language and Hearing Specialist Providers in ARLINGTON, VA

Name Credential NPI
MISS SARA KATHRYN MASTROPOLE M.S. CCC-SLP 1023035052
MARIA C DEASY 1356443162
MRS. SHANNAN LEIGH SCHEUER M.A.CCC-SLP 1023184124
DANIELLE WEIS CCC-SLP 1407907975
ISABEL M LAWRENCE M.S., CCC-SLP 1023231495
MRS. HEATHER MOSKAL ATKINS M.S., CCC-SLP 1063636702
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.