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

TAWANNA C JACKSON, MSP,CCC-SLP

Active Sole Proprietor

TAWANNA C JACKSON, MSP,CCC-SLP is a Speech, Language and Hearing Specialist healthcare provider located in LITHONIA, Georgia. NPI 1790841450 is currently active in the NPPES registry. Verify at CMS.

Speech, Language and Hearing Specialist · LITHONIA, GA

Registration Details

NPI Number
1790841450
Provider Type
Individual
Gender
Female
NPI Issued
Dec 28, 2006 (19.589093351355 yrs)
Last Updated
Jul 9, 2007
License
SLP005500 (GA)
Sole Proprietor
Yes

Practice Information

Address
8075 MALL PKWY
SUITE 101-332
LITHONIA, GA, 300386993
Browse GA providers · Browse ZIP 30038
Phone
7703233002
Primary Specialty
Speech, Language and Hearing Specialist
235Z00000X

Other Speech, Language and Hearing Specialist Providers in LITHONIA, GA

Name Credential NPI
STACEY WALLEN PH. D., CCC-SLP 1376657114
JOYCE MARIE CHANEY CCC-SLP 1356438089
MS. FELICIA JANEL ALFORD M.A.CCC-SLP 1205994001
ANNISSIA C. DAVIS SLP 1194880161
MISS TAMEKA BLANETTE BACON 1013126770
MRS. TAWNY CRYSTAL SMALL-BURNAM SLP 1376747428
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.