Leanne Jacob
Specialist/Technologist, Speech-Language Assistant in Greenacres, FL. Individual provider (NPI-1).
NPI number1407628589
StatusActive
Last updated in NPPESOct 23, 2023
Details
- NPI
- 1407628589
- Entity type
- Individual (NPI-1)
- Name
- Leanne Jacob
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 23, 2023
- Certification date
- Oct 23, 2023
- Last updated
- Oct 23, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2355S0801X | Specialist/Technologist, Speech-Language Assistant | SI6601 | FL | Yes |
Practice location
2216 S Jog RdGreenacres, FL 33415-6101
Phone 561-415-5577
Mailing address
9065 Yearling DrLake Worth, FL 33467-1041
Phone 954-918-6982
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