Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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David Max Jackson, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1366544322

David Max Jackson, MS, CCC-SLP is a Speech-Language Pathologist in W Lafayette, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2006
What do these letters mean?
MS — Master of Science
A graduate science degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

81 Peregrine Ct
W Lafayette, IN 47906-5073
Phone: (765) 426-0220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 22002292A (IN)

Record details

NPI number1366544322
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , CCC-SLP
Sole proprietorYes
NPI enumeratedSeptember 1, 2006
Last updated in NPPESJuly 8, 2007
Mailing address81 Peregrine Ct, W Lafayette, IN 47906-5073

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