Individual
MS. DANA JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
4311 106TH PL NE, KIRKLAND, WA 98033-7919
(425) 827-0505
Mailing address
4311 106TH PL NE, KIRKLAND, WA 98033-7919
(425) 827-0505
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00001346
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8337990
DSHS #
WA
01
—
LL00001346
WA STATE SLP LICENSE
WA
Enumeration date
09/15/2005
Last updated
10/15/2012
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