Amanda Lynn Jacob, CCC-SLP

NPI #1912480526 in Sunrise, Florida

Provider Information

NPI Number
1912480526
Entity Type
Individual
Name
Amanda Lynn Jacob, CCC-SLP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Credential
CCC-SLP
Enumeration Date
Sep 10, 2018
Last Updated
Aug 11, 2020

Practice Location

Address
14201 W SUNRISE BLVD STE 107
State
Florida
ZIP Code
33323-3207
Phone
(954) 756-2818

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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