Jackson, Scott Bryan

Jackson, Scott Bryan is an individual health care provider with primary practice located at 235 Blue Point Ave Little Angels Center, Blue Point NY 11715-1203. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Jackson, Scott Bryan can be contacted via phone (631) 363-5794.

Contact Information

Primary practice address
235 Blue Point Ave Little Angels Center Blue Point NY 11715-1203
Phone: (631) 363-5794
Fax: (631) 363-8046
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 016099-1 New York

Profile Details

NPI number 1356496707
LBN Legal business name Jackson, Scott Bryan
Credentials M.S., CCC SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2007
Last updated Jul 8th, 2007 - about 18 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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