Individual
REBECCA JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
10 LINK DR, ROCKLEIGH, NJ 07647-2504
(201) 784-1414
Mailing address
175 WESTERVELT AVE, TENAFLY, NJ 07670-2531
(201) 937-6852
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00974900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2650809
PROLIABILITY INSURANCE
NJ
Enumeration date
06/15/2019
Last updated
02/12/2026
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