National Provider Identifier
Kristen Jacobs, MS, CCC-SLP
Kristen Jacobs, MS, CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Williamson, NY and a listed phone number of (585) 727-3220.
Profile Overview
- NPI
- 1093194680
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- May 28, 2015
- Last Updated
- February 02, 2023
Practice Location
- 4309 Lake Road
- Williamson, NY 14589
Phone: (585) 727-3220
Specialties
- Speech-Language Pathologist (235Z00000X)
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1093194680
- Entity Type
- Individual
- Last Name
- Jacobs
- First Name
- Kristen
- Credential
- MS, CCC-SLP
- Mailing Street Address
- 4309 Lake Road
- Mailing City
- Williamson
- Mailing State
- NY
- Mailing ZIP Code
- 14589
- Mailing Country
- US
- Mailing Phone
- (585) 727-3220
- Practice Street Address
- 4309 Lake Road
- Practice City
- Williamson
- Practice State
- NY
- Practice ZIP Code
- 14589
- Practice Country
- US
- Practice Phone
- (585) 727-3220
- Enumeration Date
- May 28, 2015
- Last Updated
- February 02, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- February 02, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X), Speech-Language Pathologist (235Z00000X)
- Other Identifiers
- 3810029100 (WV), 0131743 (OH)