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Individual

AMANDA JEAN JACOBSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, CCC-SLP

Contact information

Practice address
43 NEW SCOTLAND AVE, COMMUNICATION DISORDERS DEPARTMENT, MC-128, ALBANY, NY 12208-3412
(518) 262-4526
(518) 262-6896
Mailing address
43 NEW SCOTLAND AVE, COMMUNICATION DISORDERS DEPARTMENT, MC-128, ALBANY, NY 12208-3412
(518) 262-4526
(518) 262-6896

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
014269
NY

Other

Enumeration date
03/31/2006
Last updated
02/25/2016
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