Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. LISA GIBSON JACKSON, M.S. CCC-SLP/L
Active Sole ProprietorMRS. LISA GIBSON JACKSON, M.S. CCC-SLP/L is a Speech, Language and Hearing Specialist healthcare provider located in DOLTON, Illinois. NPI 1548587280 is currently active in the NPPES registry. Verify at CMS.
Speech, Language and Hearing Specialist · DOLTON, IL
Registration Details
- NPI Number
- 1548587280
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 20, 2010 (16.313139403381 yrs)
- Last Updated
- Apr 20, 2010
- License
-
146002827 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
15642 MADISON AVEDOLTON, IL, 604193028Browse IL providers · Browse ZIP 60419
- Phone
- 7088417446
- Primary Specialty
-
Speech, Language and Hearing Specialist
235Z00000X
Other Speech, Language and Hearing Specialist Providers in DOLTON, IL
| Name | Credential | NPI |
|---|---|---|
| DANIELLE ANNETTE MARSHALL | MHS,CCC-SLP-L | 1528260601 |
| ANNE KATHRYN BLUDGEN | MHS CCC SLP | 1154526119 |
| MS. ERINI VICTORIA COLLAROS | CCC-SLP | 1760209944 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.