Individual
MRS. HEATHER RENEE COX JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
150 DUFFEY DR, STAFFORD, VA 22556-8034
(540) 658-6464
Mailing address
150 DUFFEY DR, STAFFORD, VA 22556-8034
(540) 658-6464
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202007811
VA
Other
Enumeration date
04/11/2018
Last updated
04/11/2018
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