National Provider Identifier
Susan Jackson, SLP
Susan Jackson, SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Springville, NY and a listed phone number of (716) 592-9331.
Profile Overview
- NPI
- 1336717982
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- June 10, 2021
- Last Updated
- June 10, 2021
Practice Location
- 393 North St
- Springville, NY 14141-9652
Phone: (716) 592-9331
Mailing Address
- 5327 Depot St
- West Valley, NY 14171-9618
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1336717982
- Entity Type
- Individual
- Last Name
- Jackson
- First Name
- Susan
- Credential
- SLP
- Mailing Street Address
- 5327 Depot St
- Mailing City
- West Valley
- Mailing State
- NY
- Mailing ZIP Code
- 14171-9618
- Mailing Country
- US
- Mailing Phone
- (716) 566-8608
- Practice Street Address
- 393 North St
- Practice City
- Springville
- Practice State
- NY
- Practice ZIP Code
- 14141-9652
- Practice Country
- US
- Practice Phone
- (716) 592-9331
- Practice Fax
- (716) 592-4683
- Enumeration Date
- June 10, 2021
- Last Updated
- June 10, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- June 10, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)