Simone Jacobson, MS, CCC-SLP
Speech-Language Pathologist, in New York, NY. Individual provider (NPI-1).
NPI number1982199097
StatusActive
Last updated in NPPESJun 30, 2018
Details
- NPI
- 1982199097
- Entity type
- Individual (NPI-1)
- Name
- Simone Jacobson
- Credential
- MS, CCC-SLP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 30, 2018
- Last updated
- Jun 30, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | – | – | Yes |
Practice location
1301 5th AveNew York, NY 10029-3119
Phone 914-715-3078
Mailing address
229 E 21st St Apt 12New York, NY 10010-6458
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