Jackson, Lashunda Denise
Jackson, Lashunda Denise is an sole proprietor health care provider with primary practice located at 1862 Highway 278 E , Monticello AR 71655-9192. 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, Lashunda Denise can be contacted via phone (870) 367-1994.Contact Information
Primary practice address
1862 Highway 278 E
Monticello AR 71655-9192
Phone: (870) 367-1994
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SP #1214 | Arkansas |
Profile Details
| NPI number | 1528397395 |
|---|---|
| LBN Legal business name | Jackson, Lashunda Denise |
| Credentials | M.S., CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 8th, 2009 |
| Last updated | Dec 8th, 2009 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528397395 | NPPES |
| Arkansas | MEDICAID | 133472721 |
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