Individual
RENA L. JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD, FAAA, CCC-A
Contact information
Practice address
341 STATE RD, DARTMOUTH, MA 02747-4319
(508) 996-0389
(508) 997-0429
Mailing address
341 STATE RD, DARTMOUTH, MA 02747-4319
(508) 996-0389
(508) 997-0429
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
566
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5104530
—
MA
Enumeration date
01/10/2006
Last updated
03/12/2020
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