Courtney Jackson
Speech-Language Pathologist, in Brooklyn, NY. Individual provider (NPI-1).
NPI number1164029245
StatusActive
Last updated in NPPESApr 8, 2026
Details
- NPI
- 1164029245
- Entity type
- Individual (NPI-1)
- Name
- Courtney Jackson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 2, 2020
- Certification date
- Apr 8, 2026
- Last updated
- Apr 8, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 029727 | NY | Yes |
Practice location
65 Court StBrooklyn, NY 11201-4916
Phone 718-935-4000
Mailing address
184 Middle River RdDanbury, CT 06811-2713
Phone 203-240-8106
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