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

Mrs. Lara Lee Jackson, EDS

Individual provider School Psychologist · NPI 1215758420

Mrs. Lara Lee Jackson, EDS is a School Psychologist in Indianapolis, Indiana. Licensed in Indiana. Registered with an NPI since 2024.

Licensed in
IN
In the registry since
2024

Practice location Address checks out

10440 Indian Creek Rd S
Indianapolis, IN 46259-1451
Phone: (317) 803-8112
Fax: (317) 803-8197
Show map & directions

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

Specialties & licences

School Psychologist (primary) Taxonomy 103TS0200X · Licence 1482318 (IN)

Record details

NPI number1215758420
Entity typeIndividual (Type 1)
GenderFemale
Credentials EDS
Sole proprietorNo
NPI enumeratedOctober 21, 2024
Last updated in NPPESOctober 21, 2024
Certification dateOctober 21, 2024

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