NPI 1215607585

Carly K Jacobs, AUD

Practitioner Audiologist Virginia Beach, VA

Practice location

Address: 441 S Independence Blvd STE 1, Virginia Beach, VA 23452-1126
Phone: (757) 304-8445
Fax: (757) 568-7634

Registered specialties (2)

Audiologist Primary

Speech, Language and Hearing Service Providers Taxonomy 231H00000X Licence 2201001910 (VA)

Other Audiologist providers in Virginia →

Audiologist

Speech, Language and Hearing Service Providers Taxonomy 231H00000X Licence 1968 (TN)

Registry record

NPI: 1215607585
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Sep 2021
Record last updated: 31 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.