MRS. TARA MICHELE JACKSON MA CCC-SLP NPI 1114973559

NPI Information

MRS. Tara Michele Jackson, MA, CCC-SLP is a speech language pathologist in Charlotte, NC. The provider is 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. MRS. Tara Michele Jackson, MA, CCC-SLP NPI is 1114973559. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3403 LINDEN BERRY LN
CHARLOTTE, NC
ZIP 28269-300
Phone: (704) 258-1724
Fax: (704) 598-3024

The enumeration date for this NPI number is 5/26/2006 and was last updated on 7/2/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.