| David Max Jackson, MS, CCC-SLP | |
|
81 Peregrine Ct, W Lafayette, IN 47906-5073 | |
| (765) 426-0220 | |
| Not Available |
| Full Name | David Max Jackson |
|---|---|
| Gender | Male |
| Speciality | Speech-language Pathologist |
| Location | 81 Peregrine Ct, W Lafayette, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366544322 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 22002292A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| David Max Jackson, MS, CCC-SLP 81 Peregrine Ct, W Lafayette, IN 47906-5073 Ph: () - | David Max Jackson, MS, CCC-SLP 81 Peregrine Ct, W Lafayette, IN 47906-5073 Ph: (765) 426-0220 |
Grace Therapy Services Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3719 Litchfield Ln, W Lafayette, IN 47906 Phone: 765-714-2500 | |
Speech Pathways, Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3482 Mcclure Ave, W Lafayette, IN 47906 Phone: 765-838-3547 Fax: 765-838-3468 |