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

KATIE ANNE JACKSON, M.A. CCC-SLP/BCBA

Active Sole Proprietor

KATIE ANNE JACKSON, M.A. CCC-SLP/BCBA is a Speech, Language and Hearing Specialist healthcare provider located in GOLD RIVER, California. NPI 1871840694 is currently active in the NPPES registry. Verify at CMS.

Speech, Language and Hearing Specialist · GOLD RIVER, CA

Registration Details

NPI Number
1871840694
Provider Type
Individual
Gender
Female
NPI Issued
Aug 10, 2012 (13.826724288857 yrs)
Last Updated
Aug 13, 2019
License
19945 (CA)
Sole Proprietor
Yes

Practice Information

Address
11344 COLOMA RD STE 810
GOLD RIVER, CA, 956704465
Browse CA providers · Browse ZIP 95670
Phone
9166310428
Primary Specialty
Speech, Language and Hearing Specialist
235Z00000X

Other Speech, Language and Hearing Specialist Providers in GOLD RIVER, CA

Name Credential NPI
MS. JENNIFER MOREY C.C.C.SLP 1174842777
VICKI NORMAN M.A.-CCC-SLP 1427310432
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.