Individual
KYLEE JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
383 ROLLING RIDGE DR, STATE COLLEGE, PA 16801-7679
(814) 238-4434
Mailing address
383 ROLLING RIDGE DR, STATE COLLEGE, PA 16801-7679
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL012231
PA
Other
Enumeration date
01/08/2015
Last updated
04/20/2015
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