Jackson, Danette P

Jackson, Danette P is an individual health care provider with primary practice located at 7525 Custer Road W. , Lakewood WA 98499. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Jackson, Danette P can be contacted via phone (253) 476-7327.

Contact Information

Primary practice address
7525 Custer Road W. Lakewood WA 98499
Phone: (253) 476-7327
Fax: (253) 476-0585
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X LD00001210 Washington

Profile Details

NPI number 1013034255
LBN Legal business name Jackson, Danette P
Credentials AU.D., CCC-A
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2007
Last updated Jun 30th, 2022 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1013034255 NPPES
Washington MEDICAID 7127665
Washington Other 0196115
Washington MEDICAID 9058553

Popular Providers