Jackson, Caroline J

Jackson, Caroline J is an individual health care provider with primary practice located at 610 T W Barker Dr , Franklinton LA 70438-1549. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Jackson, Caroline J can be contacted via phone (985) 839-5674.

Contact Information

Primary practice address
610 T W Barker Dr Franklinton LA 70438-1549
Phone: (985) 839-5674
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X S0890 Mississippi
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 3224 Louisiana

Profile Details

NPI number 1184923757
LBN Legal business name Jackson, Caroline J
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2011
Last updated Jun 5th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184923757 NPPES
Mississippi MEDICAID 00230121

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