Individual
MRS. JALISSA ANN JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
2481 SUNSET LN, YORK, PA 17408-4205
(724) 859-7126
Mailing address
2481 SUNSET LN, YORK, PA 17408-4205
(724) 859-7126
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL012367
PA
235Z00000X
Speech-Language Pathologist
SL012367
—
Other
Enumeration date
07/12/2017
Last updated
07/21/2022
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