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Active NPI 1780911743 Individual Practitioner Female Practitioner

Carly B Jackson , MS CCC-SLP

Speech-Language Pathologist • Cheney, WA

Professional Overview & Biography Verified Profile Summary

Carly Jackson, MS CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Cheney, WA. Practice services are available at 12414 S ANDRUS RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12414 S Andrus Rd

Cheney, WA 990048607

Telephone 5095594507
Fax 5095594517
Associated Practice Facility / Clinic
🏢 Cheney School District Facility NPI 1942311741

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Cheney, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
8 Specialists

Practicing in Cheney, WA (4167 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License WA LL60083435

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Shavonne Lanier , PT

Physical Therapist

NPI 1215408349

Physical Therapist

Julie Carstens , MOTR, L

Occupational Therapist

NPI 1235577081
Dr. Stephanie Hamilton , PT, DPT, ATC

Clinic/Center - Physical Therapy

NPI 1306317771

Physical Therapist, Doctor of Physical Therapy, Certified Athletic Trainer

Erika Klauss , MS CCC SLP

Speech-Language Pathologist

NPI 1902244874

MSCCCSLP

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 13, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location September 13, 2013

Registered at 12414 S ANDRUS RD, CHENEY, WA 990048607 (Tel: 5095594507)

📍
Updated Business Mailing Address September 13, 2013

Registered at 12414 S ANDRUS RD, CHENEY, WA 990048607 (Tel: 5095594507)

👤
Provider Name / Credentials Updated September 13, 2013

Recorded as CARLY JACKSON, MS CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 13, 2013

Speech-Language Pathologist (License #LL60083435 in WA)

🟢
Initial NPI Registration & Enumeration November 12, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1780911743
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 12, 2009
Last Update: September 13, 2013
Sole Proprietor: No

Mailing Address

12414 S Andrus Rd

Cheney, WA 990048607

Phone: 5095594507

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.