Mylisa Jacobson, CCC-SLP - Speech-Language Pathologist in Delta, UT

Mylisa Jacobson, CCC-SLP is a Speech-language Pathologist based in Delta, Utah. Mylisa Jacobson is licensed to practice in Utah (license number 12638023-4102) and her current practice location is 95 White Sage Ave Ste C, Delta, Utah. She can be reached at her office (for appointments etc.) via phone at (435) 864-2551.

NPI number for Mylisa Jacobson is 1245980176 and her current mailing address is 95 White Sage Ave Ste C, Delta, Utah. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1245980176.

Contact Information

Mylisa Jacobson, CCC-SLP
95 White Sage Ave Ste C,
Delta, UT 84624-5555
(435) 864-2551
(435) 864-3573

Map and Direction




Healthcare Provider's Profile

Full NameMylisa Jacobson
GenderFemale
SpecialitySpeech-language Pathologist
Location95 White Sage Ave Ste C, Delta, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1245980176
  • Provider Enumeration Date: 03/24/2022
  • Last Update Date: 03/24/2022

Medical Identifiers

Medical identifiers for Mylisa Jacobson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245980176NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist 12638023-4102 (Utah)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mylisa Jacobson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mylisa Jacobson, CCC-SLP
95 White Sage Ave Ste C,
Delta, UT 84624-5555

Ph: (435) 864-2551
Mylisa Jacobson, CCC-SLP
95 White Sage Ave Ste C,
Delta, UT 84624-5555

Ph: (435) 864-2551

Reviews and Comments


Speech-Language Pathologist in Delta, UT

Katy Glenn Roper, SLP
Speech-Language Pathologist
Medicare: Accepting Medicare Assignments
Practice Location: 95 White Sage Ave Ste C, Delta, UT 84624
Phone: 435-864-2551    
Mrs. Andrea Kay Young, M.S. CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 1237 S 2000 W, Delta, UT 84624
Phone: 775-622-7488    
Shari Winters,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 126 White Sage Ave, Delta, UT 84624
Phone: 435-864-5591    

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