MRS. Lisa Ann Jackson, MA CCC SLP
NPI #1255386926 in Rensselaer, Indiana
Provider Information
- NPI Number
- 1255386926
- Entity Type
- Individual
- Name
- MRS. Lisa Ann Jackson, MA CCC SLP
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MA CCC SLP
- Enumeration Date
- May 23, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1104 EAST GRACE STREET
- City
- Rensselaer
- State
- Indiana
- ZIP Code
- 47978-3211
- Phone
- (219) 866-5141
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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Organizations
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|---|---|
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