Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEMETRIA JACKSON, CCC-SLP
Active Sole ProprietorDEMETRIA JACKSON, CCC-SLP is a Speech, Language and Hearing Specialist healthcare provider located in BRUNSWICK, Georgia. NPI 1790005791 is currently active in the NPPES registry. Verify at CMS.
Speech, Language and Hearing Specialist · BRUNSWICK, GA
Registration Details
- NPI Number
- 1790005791
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 2, 2010 (16.20325795359 yrs)
- Last Updated
- Feb 4, 2022
- License
-
SLP007195 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
157 CORAL DRBRUNSWICK, GA, 315238951Browse GA providers · Browse ZIP 31523
- Phone
- 9126894382
- Fax
- 8888752884
- Primary Specialty
-
Speech, Language and Hearing Specialist
235Z00000X
Other Speech, Language and Hearing Specialist Providers in BRUNSWICK, GA
| Name | Credential | NPI |
|---|---|---|
| CONNIE S HOLCOMB | CCC/SLP | 1467411165 |
| ROYCE K LAIDLER | CCC/SLP | 1720047418 |
| OLGA J BRYANT | SLP004314 | 1063592087 |
| MRS. AMANDA L GOODMAN | M.ED, CCC-SLP | 1598823155 |
| MS. SUSAN MARSHALL LUNSFORD | SLP | 1972644656 |
| MISS BOBBY JEAN JOPLING | M. ED., CCC-SLP | 1124169297 |
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.