1. Home
  2. Directory
  3. Washington
  4. Cheney
  5. Speech Language Pathologist
  6. NPI Profile

CARLY B JACKSON MS CCC-SLP
NPI 1780911743
Speech-Language Pathologist in Cheney, WA

Active since November 12, 2009
12414 S ANDRUS RD, CHENEY, WA 99004(509) 559-4507(509) 559-4517 Get Directions Write a Review

NPPES record last updated: September 13, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carly B Jackson Ms Ccc-slp NPPES

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

CARLY B JACKSON MS CCC-SLP (NPI 1780911743) is an individual speech-language pathologist provider in Cheney, Washington, licensed in Washington (LL60083435) and active in the NPI registry since November 2009.

NPPES Registry Identity

NPI1780911743
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameCARLY B JACKSONCredential: MS CCC-SLP
Location Address12414 S ANDRUS RDCheney, WA 99004-8607
Mailing Address12414 S Andrus RdCheney, WA 99004-8607 · (509) 559-4507 · Fax (509) 559-4517
Phone(509) 559-4507
Fax(509) 559-4517
Sole ProprietorNo
Enumeration DateNovember 12, 2009
Last NPPES UpdateSeptember 13, 2013
✔ NPI 1780911743 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 WA · LL60083435
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.
12414 S ANDRUS RD, Cheney, WA 99004
Open in Google Maps ↗

Other Providers at the Same Location NPPES 7

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

SHAVONNE LANIER PT
Physical Therapist
12414 S ANDRUS RD
CHENEY, WA 99004
Spokane County (509) 559-4507
MRS. JULIE A. CARSTENS MOTR/L
Occupational Therapist
12414 S ANDRUS RD
CHENEY, WA 99004
Spokane County (509) 559-4507
MRS. ALLISON MICHELLE HAHN RN
Registered Nurse
12414 S ANDRUS RD
CHENEY, WA 99004
Spokane County (509) 559-4014
DR. STEPHANIE HAMILTON PT, DPT, ATC
Clinic/Center (Physical Therapy)
12414 S ANDRUS RD
CHENEY, WA 99004
Spokane County (509) 559-4507
LORRI LEE KEMPFFER R.N.
Registered Nurse (School)
12414 S ANDRUS RD
CHENEY, WA 99004
Spokane County (509) 879-6641
GRETCHEN STEPHENS MS CCC/SLP
Speech-Language Pathologist
12414 S ANDRUS RD
CHENEY, WA 99004
Spokane County (509) 559-4599
MRS. ANGELA AMY BROWN BSN, RN
Registered Nurse (School)
12414 S ANDRUS RD
CHENEY, WA 99004
Spokane County (509) 559-4599

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 Carly Jackson's NPI number?

The NPI number for Carly Jackson is 1780911743. It was assigned to this individual provider in the NPPES registry on November 12, 2009.

Where is Carly Jackson located?

Carly Jackson practices at 12414 S Andrus Rd, Cheney, WA 99004. The listed phone number is (509) 559-4507.

What is Carly 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 Carly Jackson was last updated on September 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.