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

MRS. RAE LYNN JACKSON, M.A.,CCC-SLP

Active Sole Proprietor

MRS. RAE LYNN JACKSON, M.A.,CCC-SLP is a Speech, Language and Hearing Specialist healthcare provider located in EAST DUBUQUE, Illinois. NPI 1861668857 is currently active in the NPPES registry. Verify at CMS.

Speech, Language and Hearing Specialist · EAST DUBUQUE, IL

Registration Details

NPI Number: 1861668857
Provider Type: Individual
Gender: Female
NPI Issued: Apr 30, 2008 (18.30483958624 yrs)
Last Updated: Apr 30, 2008
License: 146003918 (IL)
Sole Proprietor: Yes

Practice Information

Address: 100 N SCHOOL RD

EAST DUBUQUE, IL, 610251174
Browse IL providers · Browse ZIP 61025
Phone: 8157473117
Fax: 8157473827
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.