Doctor Name: | TIFFANY MARKEY JACOBS |
NPI Number: | 1194928465 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 2202007376 |
Business Practice Address: | 1200 1st St Ne Fl 9 Washington, DC - 200027953 |
Business Phone Number: | 8005787906 |
Business Fax Number: | |
Mailing Address: | 3650 S Glebe Rd, Unit 258 ARLINGTON |
State: | VA |
Postal Code: | 222022395 |
Phone Number: | 7034180610 |
Fax Number: | |
NPI Enumeration Date: | 06/06/2007 |
NPI Last Update Date: | 08/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2202007376 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |