Jackson, Maridyth Marginia

Jackson, Maridyth Marginia is an sole proprietor health care provider with primary practice located at 11901 10Th Way N #3307, St Petersburg FL 33716-1510. 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, Maridyth Marginia can be contacted via phone (559) 288-0713.

Contact Information

Primary practice address
11901 10Th Way N #3307 St Petersburg FL 33716-1510
Phone: (559) 288-0713
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 12567 Florida

Profile Details

NPI number 1033545041
LBN Legal business name Jackson, Maridyth Marginia
Credentials M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 23rd, 2013
Last updated Sep 23rd, 2013 - about 13 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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