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MRS. TARA MICHELE JACKSON MA, CCC-SLP
NPI 1114973559
Speech-Language Pathologist in Charlotte, NC

Active since May 26, 2006
3403 LINDEN BERRY LN, CHARLOTTE, NC 28269(704) 258-1724(704) 598-3024 Get Directions Write a Review

NPPES record last updated: July 2, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Tara Michele Jackson Ma, Ccc-slp NPPES

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

MRS. TARA MICHELE JACKSON MA, CCC-SLP (NPI 1114973559) is an individual speech-language pathologist provider in Charlotte, North Carolina, licensed in North Carolina (5772) and active in the NPI registry since May 2006.Information from the official NPPES registry record, last updated July 2, 2011.

NPPES Registry Identity

NPI1114973559
Entity TypeIndividualFemale
Provider Legal NameMRS. TARA MICHELE JACKSONCredential: MA, CCC-SLP
Location Address3403 LINDEN BERRY LNCharlotte, NC 28269-1300
Mailing Address3403 Linden Berry LaneCharlotte, NC 28269-1300 · (704) 898-2437
Phone(704) 258-1724
Fax(704) 598-3024
Sole ProprietorYes
Enumeration DateMay 26, 2006
Last NPPES UpdateJuly 2, 2011
✔ NPI 1114973559 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

★ Primary Specialty

Speech-Language Pathologist

Taxonomy 235Z00000X · Speech, Language and Hearing Service Providers

✔ Licensed in NC · 5772

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of… Show more

3403 LINDEN BERRY LN, Charlotte, NC 28269
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Also on File with NPPES

Other Identifiers1
7412438 (Medicaid, NC)

Reviews for MRS. TARA MICHELE JACKSON MA, CCC-SLP

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Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

MARGARET MOORE MS, CCC-SLP
Speech-Language Pathologist
3403 LINDEN BERRY LN
CHARLOTTE, NC 28269
Mecklenburg County (704) 258-1724
PEDIATRIC THERAPLAY SPEECH SERVICES, INC.
Early Intervention Provider Agency
3403 LINDEN BERRY LN
CHARLOTTE, NC 28269
Mecklenburg County (704) 258-1724
MRS. CORTNEY STEELE WALKER OTRL
Occupational Therapist
3403 LINDEN BERRY LN
CHARLOTTE, NC 28269
Mecklenburg County (704) 258-1724
MISS KATHLEEN ANNE LANE CCC-SLP
Speech-Language Pathologist
3403 LINDEN BERRY LN
CHARLOTTE, NC 28269
Mecklenburg County (704) 258-1724
MRS. MICHELLE HUGHES COLLIS MS, CCC-SLP
Speech-Language Pathologist
3403 LINDEN BERRY LN
CHARLOTTE, NC 28269
Mecklenburg County (704) 519-7567
MEREDITH A. GERBINO M.S. CCC-SLP
Speech-Language Pathologist
3403 LINDEN BERRY LN
CHARLOTTE, NC 28269
Mecklenburg County (704) 258-1724
MISS AMY DENISE AUSTIN MS, CCC-SLP
Speech-Language Pathologist
3403 LINDEN BERRY LN
CHARLOTTE, NC 28269
Mecklenburg County (704) 258-1724
MISS ASHLEY LOUISE PRZYBYSZEWSKI M.A., CCC-SLP
Speech-Language Pathologist
3403 LINDEN BERRY LN
CHARLOTTE, NC 28269
Mecklenburg County (704) 258-1724
CHRISTIE CARSON PT
Physical Therapist
3403 LINDEN BERRY LN
CHARLOTTE, NC 28269
Mecklenburg County (704) 541-7509
MRS. LINDA ALGER
Speech-Language Pathologist
3403 LINDEN BERRY LN
CHARLOTTE, NC 28269
Mecklenburg County (704) 258-1724

Frequently Asked Questions

What is Tara Jackson's NPI number?

The NPI number assigned to this healthcare provider is 1114973559, enumerated as an "individual" on May 26, 2006.

Where is the provider located?

The provider is located at 3403 LINDEN BERRY LN CHARLOTTE, NC 28269 and the phone number is (704) 258-1724.

What is the provider's specialty?

Speech-Language Pathologist with taxonomy code 235Z00000X.

What insurance does Tara Jackson accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.