DR. Ellen Leota Jacobs, PH.D., SLP

NPI #1104358050 in Baker City, Oregon

Provider Information

NPI Number
1104358050
Entity Type
Individual
Name
DR. Ellen Leota Jacobs, PH.D., SLP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Credential
PH.D., SLP
Enumeration Date
Mar 30, 2017
Last Updated
Mar 30, 2017

Practice Location

Address
2704 2ND ST
State
Oregon
ZIP Code
97814-2013
Phone
(541) 390-7376

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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