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MYLISA JACOBSON CCC-SLP
NPI 1245980176
Speech-Language Pathologist in Delta, UT

Active since March 24, 2022
95 WHITE SAGE AVE STE C, DELTA, UT 84624(435) 864-2551(435) 864-3573 Get Directions Write a Review

NPPES record last updated: March 24, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mylisa Jacobson Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MYLISA JACOBSON CCC-SLP (NPI 1245980176) is an individual speech-language pathologist provider in Delta, Utah, licensed in Utah (12638023-4102) and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1245980176
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMYLISA JACOBSONCredential: CCC-SLP
Location Address95 WHITE SAGE AVE STE CDelta, UT 84624-5555
Mailing Address95 White Sage Ave Ste CDelta, UT 84624-5555 · (435) 864-2551 · Fax (435) 864-3573
Phone(435) 864-2551
Fax(435) 864-3573
Sole ProprietorNo
Enumeration DateMarch 24, 2022
NPPES CertifiedMarch 24, 2022
✔ NPI 1245980176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in UT · 12638023-4102
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
95 WHITE SAGE AVE STE C, Delta, UT 84624
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Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANDREW WANKIER PT, DPT
Physical Therapist
95 WHITE SAGE AVE STE C
DELTA, UT 84624
Millard County (435) 864-2551
DUSTIN KUNZ
Physical Therapist
95 WHITE SAGE AVE STE C
DELTA, UT 84624
Millard County (435) 864-2551
JAMIE IPSON PTA
Physical Therapy Assistant
95 WHITE SAGE AVE STE C
DELTA, UT 84624
Millard County (435) 864-2551
KATY GLENN ROPER SLP
Speech-Language Pathologist
95 WHITE SAGE AVE STE C
DELTA, UT 84624
Millard County (435) 864-2551
MY HEARING CENTERS, LLC
Audiologist-Hearing Aid Fitter
95 WHITE SAGE AVE STE C
DELTA, UT 84624
Millard County (801) 849-8497
MR. RANDY DALE STINSON D.P.T.
Physical Therapist
95 WHITE SAGE AVE STE C
DELTA, UT 84624
Millard County (435) 864-2551
ERIN NICOLE SORENSON PTA
Physical Therapy Assistant
95 WHITE SAGE AVE STE C
DELTA, UT 84624
Millard County (435) 262-0855
JAMIE CHRISTENSEN PTA
Physical Therapy Assistant
95 WHITE SAGE AVE STE C
DELTA, UT 84624
Millard County (435) 864-2551

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mylisa Jacobson's NPI number?

The NPI number for Mylisa Jacobson is 1245980176. It was assigned to this individual provider in the NPPES registry on March 24, 2022.

Where is Mylisa Jacobson located?

Mylisa Jacobson practices at 95 White Sage Ave Ste C, Delta, UT 84624. The listed phone number is (435) 864-2551.

What is Mylisa Jacobson's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Mylisa Jacobson was last updated on March 24, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.