MRS. Lara Ilysse Jacobs, MS, CCC-SLP

NPI #1225587686 in Maplewood, New Jersey

Provider Information

NPI Number
1225587686
Entity Type
Individual
Name
MRS. Lara Ilysse Jacobs, MS, CCC-SLP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Credential
MS, CCC-SLP
Enumeration Date
Sep 27, 2016
Last Updated
Sep 27, 2016

Practice Location

Address
23 HOFFMAN ST
ZIP Code
07040-1113
Phone
(212) 851-6231

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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