Individual
SARAH M JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 E BROADWAY AVE, BISMARCK, ND 58501
(701) 530-7000
Mailing address
900 E BROADWAY AVE, P.O. BOX 5510, BISMARCK, ND 58506-5510
(701) 530-7000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
975
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
975
LICENSE
ND
Enumeration date
01/09/2008
Last updated
01/09/2008
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