Individual
KRISTEN SHERYL JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
29 PENNS LNDG, SELINSGROVE, PA 17870-2025
(304) 282-0924
Mailing address
29 PENNS LNDG, SELINSGROVE, PA 17870-2025
(304) 282-0924
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL010750
PA
Other
Enumeration date
01/29/2013
Last updated
01/29/2013
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