TAYLOR JACKSON CCC-SLP
NPI 1902574536
Speech-Language Pathologist in Brooklyn, NY

Q: What is Taylor Jackson's NPI number?

The NPI number for Taylor Jackson is 1902574536. It was assigned to this individual provider in the NPPES registry on August 30, 2021.

Q: What is Taylor Jackson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Taylor Jackson was last updated on August 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since August 30, 2021

4715 18TH AVE, BROOKLYN, NY 11204(718) 633-3061 Get Directions Write a Review

NPPES record last updated: August 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Taylor Jackson Ccc-slp NPPES

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

TAYLOR JACKSON CCC-SLP (NPI 1902574536) is an individual speech-language pathologist provider in Brooklyn, New York, licensed in New York (030410) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1902574536

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameTAYLOR JACKSONCredential: CCC-SLP

Location Address4715 18TH AVEBrooklyn, NY 11204-1206

Mailing Address4715 18th AveBrooklyn, NY 11204-1206 · (718) 633-3061

Phone(718) 633-3061

Sole ProprietorYes

Enumeration DateAugust 30, 2021

NPPES CertifiedAugust 8, 2021

✔ NPI 1902574536 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 NY · 030410

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.

4715 18TH AVE, Brooklyn, NY 11204

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Other Providers at the Same Location NPPES 6

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

KELLY KA-YUN NG M.S. CCC-SLP, TSSLD

Speech-Language Pathologist