Individual
JACOB THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, CF-SLP
Contact information
Practice address
901 CASTRO ST, SAN FRANCISCO, CA 94114-3209
(415) 550-8255
Mailing address
901 CASTRO ST, SAN FRANCISCO, CA 94114-3209
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
15455
CA
Other
Enumeration date
04/05/2021
Last updated
04/05/2021
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