Individual
EMMA JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
401 HIGHLAND DR, FREDONIA, WI 53021-9499
(262) 692-2401
Mailing address
401 HIGHLAND DR, FREDONIA, WI 53021-9491
(262) 692-2401
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5179-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100218510
—
WI
Enumeration date
02/18/2021
Last updated
05/08/2026
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