National Provider Identifier

Jennifer Ann Jacobs, M.A.CCC-LSLP

Jennifer Ann Jacobs, M.A.CCC-LSLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Fairport, NY and a listed phone number of (585) 421-2185.

NPI 1437427598Fairport, NYSpeech-Language Pathologist

Profile Overview

NPI
1437427598
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
December 05, 2011
Last Updated
December 05, 2011

Practice Location

  • 303 Jefferson Ave
  • Fairport, NY 14450-2313

Phone: (585) 421-2185

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1437427598
Entity Type
Individual
Last Name
Jacobs
First Name
Jennifer
Middle Name
Ann
Name Prefix
Mrs.
Credential
M.A.CCC-LSLP
Mailing Street Address
303 Jefferson Ave
Mailing City
Fairport
Mailing State
NY
Mailing ZIP Code
14450-2313
Mailing Country
US
Mailing Phone
(585) 421-2185
Practice Street Address
303 Jefferson Ave
Practice City
Fairport
Practice State
NY
Practice ZIP Code
14450-2313
Practice Country
US
Practice Phone
(585) 421-2185
Enumeration Date
December 05, 2011
Last Updated
December 05, 2011
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)