IndividualActive
Carly Jackson, MS CCC-SLP
NPI 1780911743 · Speech-Language Pathologist · Cheney, WA
Provider details
- NPI number
- 1780911743
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- MS CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- License
- LL60083435 (WA)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
12414 S Andrus Rd
Cheney, WA 99004-8607
Phone: (509) 559-4507
Fax: (509) 559-4517
Approximate (ZIP-level) locationGet directions
Mailing address
12414 S Andrus Rd
Cheney, WA 99004-8607
Registry dates
- Enumerated
- 2009-11-12
- Last updated
- 2013-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.