| Doctor Name: | MRS. COURTNEY EDMUNDS JACOBS |
| NPI Number: | 1205012911 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CCC-SLP |
| License Number: | SLP006018 |
| Business Practice Address: | 511 W Forsyth St Suite E Americus, GA - 317093433 |
| Business Phone Number: | 2299288202 |
| Business Fax Number: | 2299288205 |
| Mailing Address: | 511 West Forsyth St, Suite E AMERICUS |
| State: | GA |
| Postal Code: | 317093465 |
| Phone Number: | 2299288202 |
| Fax Number: | 2299288205 |
| NPI Enumeration Date: | 01/11/2008 |
| NPI Last Update Date: | 04/28/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SLP006018 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| 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 |