Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Lisa Michelle Cassidy Stultz, MSCCCSLP

Individual provider Speech-Language Pathologist · NPI 1568651107

Mrs. Lisa Michelle Cassidy Stultz, MSCCCSLP is a Qualified Speech Language Pathologist in Avon, Indiana. Qualified in 2004, 22 years ago. Practices with Empowerme Rehabilitation Illinois LLC, a 367-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
22
Licensed in
IN
In the registry since
2007
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Practice location Address checks out

2141 N Dan Jones Rd
Avon, IN 46123-6023
Phone: (317) 943-1837
Fax: (317) 780-3750
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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 22004181A (IN)

Record details

NPI number1568651107
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCCSLP
Sole proprietorNo
NPI enumeratedOctober 19, 2007
Last updated in NPPESDecember 6, 2022
Certification dateDecember 6, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Empowerme Rehabilitation Illinois Llc — 367 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Avon