Jackson, Londyn Andrea
Jackson, Londyn Andrea is an sole proprietor health care provider with primary practice located at 15500 Benita Fitzgerald Dr , Woodbridge VA 22193-8523. 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, Londyn Andrea can be contacted via phone (703) 583-4195.Contact Information
Primary practice address
15500 Benita Fitzgerald Dr
Woodbridge VA 22193-8523
Phone: (703) 583-4195
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 2204000315 | Virginia |
Profile Details
| NPI number | 1164077921 |
|---|---|
| LBN Legal business name | Jackson, Londyn Andrea |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 7th, 2019 |
| Last updated | Sep 4th, 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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