person
Lisa Nicole Jackson, BASLPA
Speech-Language Assistant in Tyler, Texas
NPI 1720493224

Lisa Nicole Jackson is a Speech-Language Assistant based in Tyler, TX and is specialized in Speech-Language Assistant. Lisa Nicole Jackson practices in Tyler, TX and has the professional credentials of BASLPA. The NPI Number for Lisa Nicole Jackson is 1720493224 and holds a License No. 37923 (Texas).

The current practice location address for Lisa Nicole Jackson is 3200 Troup Hwy Ste, 120, Tyler, TX and can be reached out via phone at 903-253-0095. You can also correspond with Lisa Nicole Jackson through the mailing address at 3200 TROUP HWY STE 120, TYLER, TX - 75701-8364 (mailing address contact number: 903-253-0095).

Location: 3200 Troup Hwy Ste, 120, Tyler, TX, 75701-8364
person
Provider Profile Details
NPI Number
1720493224
Provider Name
Lisa Nicole Jackson
Credential
BASLPA
Provider Entity Type
Individual
Gender
Female
Address
3200 Troup Hwy Ste, 120, Tyler, TX, 75701-8364
Phone Number
903-253-0095
Fax Number
Provider Enumeration Date
06/24/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3200 Troup Hwy Ste, 120
City
State
Zip
75701
Phone Number
903-253-0095
Fax Number
person
Provider Business Mailing Address Details
Address
3200 Troup Hwy Ste, 120
City
State
Zip
75701
Phone Number
903-253-0095
Fax Number
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Specialist/Technologist
Speciality
Speech-Language Assistant
Taxonomy
License No.
37923 (Texas)
Definition
Definition to come...
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