National Provider Identifier

Isabel Anna Jacobs, M.A., SLP

Isabel Anna Jacobs, M.A., SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Rochester, NY and a listed phone number of (585) 328-3440.

NPI 1649766171Rochester, NYSpeech-Language Pathologist

Profile Overview

NPI
1649766171
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
July 09, 2018
Last Updated
July 01, 2024

Practice Location

  • 501 Genesee St
  • Rochester, NY 14611-3621

Phone: (585) 328-3440

Mailing Address

  • 34 South Ave
  • Fairport, NY 14450-2448

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1649766171
Entity Type
Individual
Last Name
Jacobs
First Name
Isabel
Middle Name
Anna
Name Prefix
Mrs.
Credential
M.A., SLP
Provider Other Last Name
Pavlik
Provider Other First Name
Isabel
Provider Other Middle Name
Anna
Provider Other Name Prefix Text
Miss
Provider Other Last Name Type Code
1
Mailing Street Address
34 South Ave
Mailing City
Fairport
Mailing State
NY
Mailing ZIP Code
14450-2448
Mailing Country
US
Mailing Phone
(201) 403-5279
Practice Street Address
501 Genesee St
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14611-3621
Practice Country
US
Practice Phone
(585) 328-3440
Enumeration Date
July 09, 2018
Last Updated
July 01, 2024
Sex
Female
Sole Proprietor
No
Certification Date
July 01, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)