Jackson, Glenda

Jackson, Glenda is an individual health care provider with primary practice located at 2100 Cedar Dr , Edgewood MD 21040-2502. 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, Glenda can be contacted via phone (410) 612-1540.

Contact Information

Primary practice address
2100 Cedar Dr Edgewood MD 21040-2502
Phone: (410) 612-1540
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 12-7491 Maryland
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 0517 Maryland

Profile Details

NPI number 1104399823
LBN Legal business name Jackson, Glenda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2019
Last updated Nov 13th, 2019 - about 7 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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