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

Mrs. Lisa Ann Jackson, MACCCSLP

Individual provider Speech-Language Pathologist · NPI 1255386926

Mrs. Lisa Ann Jackson, MACCCSLP is a Speech-Language Pathologist in Rensselaer, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006

Practice location Address checks out

1104 E Grace St
Rensselaer, IN 47978-3211
Phone: (219) 866-5141
Fax: (219) 866-3234
Show map & directions

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

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 22002369A (IN)

Record details

NPI number1255386926
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCCSLP
Sole proprietorNo
NPI enumeratedMay 23, 2006
Last updated in NPPESJuly 13, 2026

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