Individual
KELLY ASWAD JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2220 EDWARD HOLLAND DR, RICHMOND, VA 23230-2519
(804) 678-7000
Mailing address
2220 EDWARD HOLLAND DR, RICHMOND, VA 23230-2519
(804) 678-7000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202004712
VA
Other
Enumeration date
07/22/2011
Last updated
09/08/2025
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