KIMBERLY CHRISTINE JACKSON
NPI 1881153203
Speech-Language Pathologist in Wytheville, VA
- Individual
- Female
- Speech-Language Pathologist
About KIMBERLY JACKSON
This page provides the complete NPI Profile along with additional information for Kimberly Jackson, a provider established in Wytheville, Virginia with a medical specialization in Speech-language Pathologist. The healthcare provider is registered in the NPI registry with number 1881153203 assigned on March 2019. The practitioner's primary taxonomy code is 235Z00000X with license number 2202008232 (VA). The provider is registered as an individual and her NPI record was last updated 6 years ago.
- NPI
- 1881153203 Verify this NPI
- Provider Name
- KIMBERLY CHRISTINE JACKSON
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1570 W RESERVOIR ST WYTHEVILLE, VA 24382
- Location Phone
- (276) 228-5411
- Mailing Address
- 4897 SUGAR GROVE HWY SUGAR GROVE, VA 24375
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-15-2019
- Last Update Date
- 04-30-2020
- Code Navigator
Location Map
Secondary Locations
- 27018 Lee Hwy
Abingdon, VA 24211
(276) 525-6043
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Speech-Language Pathologist
- Taxonomy Code
- 235Z00000X
- Type
- Speech, Language and Hearing Service Providers
- License No.
- 2202008232
- License State
- VA
- Taxonomy Description
- 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.
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Other Providers at the Same Location
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1881153203, enumerated as an "individual" on March 15, 2019.
The provider is located at 1570 W RESERVOIR ST WYTHEVILLE, VA 24382 and the phone number is (276) 228-5411.
Speech-Language Pathologist with taxonomy code 235Z00000X.
