Individual
MR. MARK ANTHONY JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S. CCC-SLP
Contact information
Practice address
2205 TRAUTNER DR, SAGINAW, MI 48604-8201
(989) 714-3400
Mailing address
7315 BRANDON DR, BAY CITY, MI 48706-8323
(760) 895-7770
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
36012
TX
235Z00000X
Speech-Language Pathologist
Primary
7101009852
MI
Other
Enumeration date
01/23/2013
Last updated
03/03/2026
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