Jessica L Ackerman, M.S. CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Stoughton, MA
NPI 1104045186 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1104045186
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 6301 (MA)
- Practice address
- 150 York St
Stoughton, MA 02072-1829 - Phone
- (781) 297-1420
- NPI assigned
- Apr 25, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 6301 | MA | Yes |
Addresses
Primary practice location
150 York St
Stoughton, MA 02072-1829
Mailing address
2207 Washington St
#2
Canton, MA 02021-1155
Phone (781) 571-9417
Other names
- Jessica L Defalco
Other providers in Stoughton, MA
- Abelard Psychotherapy Inc.
- Gabrielle P Abelard
- Barbara Paola Abraham
- Stacey Abraham
- Nadia Abubakar
- Stacey Acloque
- Acorn Psychiatry, PLLC
- Acti-Kare Staffing, LLC
- Actual Synergy Consulting
- Temitope Julius Adeyemi
All providers in Stoughton, MA · Speech-Language Pathologist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.