Individual
DR. LEAH M JACOBSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D., CCC-A
Contact information
Practice address
1701 11TH AVE S, GREAT FALLS, MT 59405-4849
(406) 761-0611
(406) 761-7972
Mailing address
1701 11TH AVE S, GREAT FALLS, MT 59405-4849
(406) 761-0611
(406) 761-7972
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU1077
MT
237600000X
Audiologist-Hearing Aid Fitter
AU 1077
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831190792
TRIWEST
MT
05
—
1831190792
—
MT
01
—
290618
BLUE CROSS BLUE SHIELD
MT
Enumeration date
08/02/2005
Last updated
03/27/2026
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