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Emily Elise Jackson, SLPA
Speech-Language Assistant in Gardena, California
NPI 1114796018

Emily Elise Jackson is a Speech-Language Assistant based in Gardena, CA and is specialized in Speech-Language Assistant. Emily Elise Jackson practices in Gardena, CA and has the professional credentials of SLPA. The NPI Number for Emily Elise Jackson is 1114796018 and holds a License No. 7495 (California).

The current practice location address for Emily Elise Jackson is 1149 W 190Th St Ste 2300, Gardena, CA and can be reached out via phone at 310-892-5812.

Location: 1149 W 190Th St Ste 2300, Gardena, CA, 90248-4350
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114796018
Provider Name
Emily Elise Jackson
Credential
SLPA
Provider Entity Type
Individual
Gender
Female
Address
1149 W 190Th St Ste 2300, Gardena, CA, 90248-4350
Phone Number
310-892-5812
Fax Number
Provider Enumeration Date
12/20/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1149 W 190Th St Ste 2300
City
Gardena
State
California
Zip
90248-4350
Phone Number
310-892-5812
Fax Number
person
Provider Business Mailing Address Details
Address
1149 W 190Th St Ste 2300
City
Gardena
State
California
Zip
90248-4350
Phone Number
310-892-5812
Fax Number
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Specialist/Technologist
Speciality
Speech-Language Assistant
Taxonomy
2355S0801X
License No.
7495 (California)
Definition
Definition to come...
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