Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacqueline Nicole Ditslear, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1255999322

Jacqueline Nicole Ditslear, CCC-SLP is a Speech-Language Pathologist in Indianapolis, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2019
Specialties on file
2
What do these letters mean?
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

1628 Hoyt Ave
Indianapolis, IN 46203-1205
Phone: (317) 869-9784
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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 22007531A (IN)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 46003526A (IN)

Record details

NPI number1255999322
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorYes
NPI enumeratedJune 3, 2019
Last updated in NPPESJanuary 12, 2022
Certification dateJanuary 12, 2022

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