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MS. BETTINA MONET JACKSON MS CCC-SLP
NPI 1497739395
Speech-Language Pathologist in Upper Marlboro, MD

Active since December 04, 2005
10312 GRANDHAVEN AVE, UPPER MARLBORO, MD 20772(202) 352-5699 Get Directions Write a Review

NPPES record last updated: August 6, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Bettina Monet Jackson Ms Ccc-slp NPPES

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

MS. BETTINA MONET JACKSON MS CCC-SLP (NPI 1497739395) is an individual speech-language pathologist provider in Upper Marlboro, Maryland, licensed in Maryland (03049) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1497739395
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMS. BETTINA MONET JACKSONCredential: MS CCC-SLP
Location Address10312 GRANDHAVEN AVEUpper Marlboro, MD 20772-6602
Mailing Address10312 Grandhaven AveUpper Marlboro, MD 20772-6602 · (202) 352-5699
Phone(202) 352-5699
Sole ProprietorYes
Enumeration DateDecember 4, 2005
Last NPPES UpdateAugust 6, 2013
✔ NPI 1497739395 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
License✔ Licensed in MD · 03049
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.
10312 GRANDHAVEN AVE, Upper Marlboro, MD 20772
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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 Bettina Jackson's NPI number?

The NPI number for Bettina Jackson is 1497739395. It was assigned to this individual provider in the NPPES registry on December 4, 2005.

Where is Bettina Jackson located?

Bettina Jackson practices at 10312 Grandhaven Ave, Upper Marlboro, MD 20772. The listed phone number is (202) 352-5699.

What is Bettina 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 Bettina Jackson was last updated on August 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.