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

Mylisa Jacobson, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1245980176

Mylisa Jacobson, CCC-SLP is a Speech-Language Pathologist in Delta, Utah. Licensed in Utah. Registered with an NPI since 2022.

Licensed in
UT
In the registry since
2022
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

See every abbreviation used in this directory →

Practice location Address checks out

95 White Sage Ave Ste C
Delta, UT 84624-5555
Phone: (435) 864-2551
Fax: (435) 864-3573
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 12638023-4102 (UT)

Record details

NPI number1245980176
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedMarch 24, 2022
Last updated in NPPESMarch 24, 2022
Certification dateMarch 24, 2022

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