NPI 1417397043

Alyssa Y Jacobson, MS

Practitioner Speech-Language Pathologist Sandpoint, ID

Practice location

Address: 724 Pine St, Sandpoint, ID 83864-1654
Phone: (208) 263-1843
Mailing address: 20413 Highway 2, Sandpoint, ID 83864-7357

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence TSLP2404 (ID)

Other Speech-Language Pathologist providers in Idaho →

Registry record

NPI: 1417397043
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Jun 2013
Record last updated: 27 Jun 2013

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.