National Provider Identifier
Gerriann Jackson, CCC-SLP
Gerriann Jackson, CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Rochester, NY and a listed phone number of (585) 415-8456.
Profile Overview
- NPI
- 1659493005
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- April 05, 2007
- Last Updated
- February 01, 2012
Practice Location
- 52 Straub Road
- Voiceover Speech Pathology Services
- Rochester, NY 14626
Phone: (585) 415-8456
Mailing Address
- 52 Straub RD
- Rochester, NY 14626-4231
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1659493005
- Entity Type
- Individual
- Last Name
- Jackson
- First Name
- Gerriann
- Credential
- CCC-SLP
- Provider Other Last Name
- Jackson
- Provider Other First Name
- Gerriann
- Provider Other Credential Text
- M.S., CCC-SLP
- Provider Other Last Name Type Code
- 2
- Mailing Street Address
- 52 Straub RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14626-4231
- Mailing Country
- US
- Mailing Phone
- (585) 841-5845
- Practice Street Address
- 52 Straub Road
- Practice Address Line 2
- Voiceover Speech Pathology Services
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14626
- Practice Country
- US
- Practice Phone
- (585) 415-8456
- Enumeration Date
- April 05, 2007
- Last Updated
- February 01, 2012
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)