Michelle Jackson, MS CCC-SLP is a
Speech-language Pathologist based in South Williamsport, Pennsylvania. Michelle Jackson is licensed to practice in Pennsylvania (license number SL003721L) and her current practice location is
415 Curtin St, South Williamsport, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(570) 323-3758.
NPI number for Michelle Jackson is 1710130836 and her current mailing address is 415 Curtin St, South Williamsport, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710130836.
Healthcare Provider's Profile
Full Name | Michelle Jackson |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 415 Curtin St, South Williamsport, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1710130836
- Provider Enumeration Date: 11/03/2008
- Last Update Date: 11/03/2008
Medical Identifiers
Medical identifiers for Michelle Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710130836 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | SL003721L (Pennsylvania) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michelle Jackson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Michelle Jackson, MS CCC-SLP 415 Curtin St, South Williamsport, PA 17702-7249 Ph: () - | Michelle Jackson, MS CCC-SLP 415 Curtin St, South Williamsport, PA 17702-7249 Ph: (570) 323-3758 |
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