National Provider Identifier

Rebecca Jackson, AU.D., CCC-A

Rebecca Jackson, AU.D., CCC-A is listed in the NPPES registry with a primary specialty of Audiologist in Rochester, NY and a listed phone number of (585) 475-6285.

NPI 1548841554Rochester, NYAudiologist

Profile Overview

NPI
1548841554
Provider Type
Individual
Primary Specialty
Audiologist
Enumeration Date
April 20, 2021
Last Updated
April 20, 2021

Practice Location

  • 52 Lomb Memorial Dr
  • Rochester, NY 14623-5604

Phone: (585) 475-6285

Mailing Address

  • 52 Lomb Memorial Dr # 3117
  • Rochester, NY 14623-5604

Specialties

  • Audiologist (231H00000X)
Full Record
NPI
1548841554
Entity Type
Individual
Last Name
Jackson
First Name
Rebecca
Credential
AU.D., CCC-A
Mailing Street Address
52 Lomb Memorial Dr # 3117
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14623-5604
Mailing Country
US
Mailing Phone
(585) 475-6285
Practice Street Address
52 Lomb Memorial Dr
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14623-5604
Practice Country
US
Practice Phone
(585) 475-6285
Enumeration Date
April 20, 2021
Last Updated
April 20, 2021
Sex
Female
Sole Proprietor
No
Certification Date
April 20, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Audiologist (231H00000X)