GLENDA JACKSON
NPI 1104399823
Speech-Language Pathologist in Edgewood, MD

Active since January 04, 2019
2100 CEDAR DR, EDGEWOOD, MD 21040(410) 612-1540 Get Directions Write a Review

NPPES record last updated: November 13, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 13, 2019, Jan 4, 2019 (2 updates tracked since 2019).

About Glenda Jackson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLENDA JACKSON (NPI 1104399823) is an individual speech-language pathologist provider in Edgewood, Maryland, licensed in Maryland (0517) and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1104399823
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameGLENDA JACKSON
Location Address2100 CEDAR DREdgewood, MD 21040-2502
Mailing Address2100 Cedar DrEdgewood, MD 21040-2502 · (410) 612-1540 · Fax (410) 612-2013
Sole ProprietorNo
Enumeration DateJanuary 4, 2019
Last NPPES UpdateNovember 13, 20192 updates tracked since enumeration
NPI 1104399823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Licenses Licensed in MD · 0517 Licensed in MD · 12-7491
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
2100 CEDAR DR, Edgewood, MD 21040

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Student Health)
2100 CEDAR DR
EDGEWOOD, MD 21040
Speech-Language Pathologist
2100 CEDAR DR
EDGEWOOD, MD 21040

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glenda Jackson's NPI number?

The NPI number for Glenda Jackson is 1104399823. It was assigned to this individual provider in the NPPES registry on January 4, 2019.

Where is Glenda Jackson located?

Glenda Jackson practices at 2100 Cedar Dr, Edgewood, MD 21040. The listed phone number is (410) 612-1540.

What is Glenda Jackson's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Glenda Jackson was last updated on November 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.