Individual
MRS. JOANNE L JACOBS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CCC SLP
Contact information
Practice address
818 NEWTOWN RD, VIRGINIA BEACH, VA 23462-1116
(757) 473-8016
(757) 473-3580
Mailing address
818 NEWTOWN RD, VIRGINIA BEACH, VA 23462-1116
(757) 473-8016
(757) 473-3580
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202001616
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
330087
ANTHEM BLUE CROSS
—
01
—
35062
OPTIMA
—
01
—
4980093
CAQH
—
05
—
4980093
—
VA
01
—
5990711
AETNA
—
01
—
6400313
UNITED HEALTH CARE
—
01
—
9116460
MEDICAID DME
VA
01
—
95324397
TRICARE CHAMPUS
—
Enumeration date
11/14/2005
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us