BIANCA JACKSON
Speech-Language Pathologist
Active
Individual
NPI: 1114306016
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Developmental Therapist | 222Q00000X | No | - |
| Speech-Language Pathologist | 235Z00000X | Yes | - |
Frequently Asked Questions
NPI 1114306016 is the National Provider Identifier for BIANCA JACKSON, a Speech-Language Pathologist provider located in Baton Rouge, LA. This NPI was enumerated on May 26, 2015.
BIANCA JACKSON practices at 1832 STANOCOLA DR, Baton Rouge, LA 70807.
Quick Facts
- NPI
- 1114306016
- Type
- Individual
- Enumerated
- May 26, 2015
- Last Updated
- Jul 31, 2019
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