Doctor Name: | MRS. MARY E JACOBI |
NPI Number: | 1447544853 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. CCC/SLP |
License Number: | 004391-1 |
Business Practice Address: | 2126 Penfield Rd Penfield, NY - 145261736 |
Business Phone Number: | 5852496600 |
Business Fax Number: | |
Mailing Address: | Po Box 900, Penfield Central School District PENFIELD |
State: | NY |
Postal Code: | 145260900 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/02/2011 |
NPI Last Update Date: | 07/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 004391-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
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 |