Jackson, Lisa Ann

Jackson, Lisa Ann is an individual health care provider with primary practice located at 1104 East Grace Street , Rensselaer IN 47978-3211. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Jackson, Lisa Ann can be contacted via phone (219) 866-5141.

Contact Information

Primary practice address
1104 East Grace Street Rensselaer IN 47978-3211
Phone: (219) 866-5141
Fax: (219) 866-3234
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 22002369A Indiana

Profile Details

NPI number 1255386926
LBN Legal business name Jackson, Lisa Ann
Credentials MA CCC SLP
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Jul 8th, 2007 - about 19 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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