Individual
CARLY K JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
441 S INDEPENDENCE BLVD STE 1, VIRGINIA BEACH, VA 23452-1126
(757) 304-8445
(757) 568-7634
Mailing address
441 S INDEPENDENCE BLVD STE 1, VIRGINIA BEACH, VA 23452-1126
(757) 304-8445
(757) 568-7634
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
1968
TN
231H00000X
Audiologist
Primary
2201001910
VA
Other
Enumeration date
09/17/2021
Last updated
01/31/2024
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