MRS. Tina Marie Jacobsen, M.A., CCC-SLP
NPI #1821058231 in Beresford, South Dakota
Provider Information
- NPI Number
- 1821058231
- Entity Type
- Individual
- Name
- MRS. Tina Marie Jacobsen, M.A., CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.A., CCC-SLP
- Enumeration Date
- Mar 28, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 606 W CEDAR ST
- City
- Beresford
- State
- South Dakota
- ZIP Code
- 57004-1125
- Phone
- (605) 763-2048
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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