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Jacob Gelien, M.S. SLP-CF

Speech-Language Pathologist, in Peoria, AZ. Individual provider (NPI-1).

NPI number1659927770
StatusActive
Last updated in NPPESAug 14, 2019

Details

NPI
1659927770
Entity type
Individual (NPI-1)
Name
Jacob Gelien
Credential
M.S. SLP-CF
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 14, 2019
Last updated
Aug 14, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,TSLP12023AZYes

Practice location

7000 W Happy Valley Rd
Peoria, AZ 85383-3278

Phone 623-445-7645

Mailing address

4101 W Union Hills Dr Apt 1140
Glendale, AZ 85308-1734

Phone 925-759-9514

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