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Emily Jacobs Derby

Speech-Language Pathologist, in San Diego, CA. Individual provider (NPI-1).

NPI number1033859046
StatusActive
Last updated in NPPESMar 29, 2022

Details

NPI
1033859046
Entity type
Individual (NPI-1)
Name
Emily Jacobs Derby
Sex
Female
Sole proprietor
No
Enumeration date
Mar 29, 2022
Certification date
Mar 29, 2022
Last updated
Mar 29, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,––Yes

Practice location

7525 Metropolitan Dr Ste 308
San Diego, CA 92108-4412

Phone 619-692-0622 · Fax 619-692-0644

Mailing address

1108 River Bay Rd
Annapolis, MD 21409-4832

Phone 443-848-3264

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