Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jaclyn Gannon

Individual provider Speech-Language Pathologist · NPI 1841010840

Jaclyn Gannon is a Speech-Language Pathologist in Indianapolis, Indiana. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

6622 Avalon Forest Dr
Indianapolis, IN 46250-2804
Phone: (567) 239-2514
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X

Record details

NPI number1841010840
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 14, 2024
Last updated in NPPESOctober 14, 2024
Certification dateOctober 14, 2024
Mailing address12505 Bentley Blvd, Fishers, IN 46038-1223

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