Individual
BETHANY MARIE JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
38957 DETROIT RD, AVON, OH 44011-2160
(330) 224-4886
Mailing address
38957 DETROIT RD, AVON, OH 44011-2160
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.15254
OH
Other
Enumeration date
05/29/2023
Last updated
05/29/2023
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