Londyn Andrea Jackson
Speech-Language Pathologist, in Woodbridge, VA. Individual provider (NPI-1).
NPI number1164077921
StatusActive
Last updated in NPPESSep 4, 2019
Details
- NPI
- 1164077921
- Entity type
- Individual (NPI-1)
- Name
- Londyn Andrea Jackson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 7, 2019
- Last updated
- Sep 4, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 2204000315 | VA | Yes |
Practice location
15500 Benita Fitzgerald DrWoodbridge, VA 22193-8523
Phone 703-583-4195
Mailing address
4059 Tarpon LnWoodbridge, VA 22193-2332
Phone 703-600-9302
Other practice locations
2019 Cunningham Dr Ste 104
Hampton, VA 23666-3316
Hampton, VA 23666-3316
Phone 757-869-7559
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All 68 Speech-Language Pathologist providers in Woodbridge · All 3,608 providers in Woodbridge
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