Elizabeth D Jacobs, MA CCCSLP

NPI #1154530103 in Fairbanks, Alaska

Provider Information

NPI Number
1154530103
Entity Type
Individual
Name
Elizabeth D Jacobs, MA CCCSLP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Credential
MA CCCSLP
Enumeration Date
May 22, 2007
Last Updated
May 5, 2008

Practice Location

Address
600 UNIVERSITY AVE
Address 2
STE. 110
State
Alaska
ZIP Code
99709-3643
Phone
(907) 451-1067

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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