Search › North Carolina › 235Z00000X
Tara Jackson, MA, CCC-SLP
NPI 1114973559 · on the registry since 2006 · sole proprietor
Practice
- Address
- 3403 Linden Berry Ln
Charlotte, NC 28269 - Phone
- (704) 258-1724
- Fax
- (704) 598-3024
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-07-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina