Individual
MS. KAREN GAY JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
1401 DENNIS AVE, SILVER SPRING, MD 20902-3827
(301) 814-3320
Mailing address
10603 GREENACRES DR, SILVER SPRING, MD 20903-1214
(301) 814-3320
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12030960
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06619
—
MD
Enumeration date
12/03/2018
Last updated
12/03/2018
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