Individual
JAKE OSBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, CCC-SLP
Contact information
Practice address
16 DESCANSO RD, SANTA FE, NM 87508-9125
(765) 720-8293
Mailing address
16 DESCANSO RD, SANTA FE, NM 87508-9125
(765) 720-8293
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP6803
NM
Other
Enumeration date
09/25/2018
Last updated
06/04/2025
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