Individual
ALYSSA JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3308 HAMPTON RD, AUSTIN, TX 78705-2504
(512) 414-1117
Mailing address
601 HARRIS AVE, AUSTIN, TX 78705-2515
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/19/2022
Last updated
08/19/2022
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