Individual
CARY JACOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., CCC-SLP
Contact information
Practice address
26 BATTLEFIELD RD, STAUNTON, VA 24401-7021
(804) 370-4818
Mailing address
26 BATTLEFIELD RD, STAUNTON, VA 24401-7021
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202009781
VA
Other
Enumeration date
03/08/2021
Last updated
01/17/2025
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