MS. PETRINA JACKSON, M.S., CCC-SLP
Speech-Language Pathologist
Active
Individual
NPI: 1952476822
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes | - |
Frequently Asked Questions
NPI 1952476822 is the National Provider Identifier for MS. PETRINA JACKSON, M.S., CCC-SLP, a Speech-Language Pathologist provider located in Blue Island, IL. This NPI was enumerated on November 22, 2006.
MS. PETRINA JACKSON, M.S., CCC-SLP practices at 12224 FAIRWAY CIR, UNIT A, Blue Island, IL 60406.
Quick Facts
- NPI
- 1952476822
- Type
- Individual
- Enumerated
- Nov 22, 2006
- Last Updated
- Jul 8, 2007
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