CHRISTY DANIELLE JACKSON

JUSTIN, TX
NPI1174170591
Former NameCHRISTY D VIJJESWARAPU
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: SC  7582)
Additional Taxonomies235Z00000X Speech-Language Pathologist,
(Licence: TX  116020)
Enumeration Date2019-08-20
Last Update Date2026-05-13
Business Address
CHRISTY DANIELLE JACKSON M.S. CCC SLP
2001 TEXAN DR
JUSTIN, TX 76247-8791
Phone number: 817-215-0000
Mailing Address
CHRISTY DANIELLE JACKSON M.S. CCC SLP
300 E MCBEE AVE FL 4
GREENVILLE, SC 29601-2842
Phone number: 864-522-8603