Lara Ilysse Jacobs, MS, CCC-SLP

Speech-Language Pathologist · Maplewood, NJ

Individual Active NPI

NPI number 1225587686

Practice location

23 Hoffman St
Maplewood, NJ 07040-1113
Phone
(212) 851-6231

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NPI record

NPI
1225587686
Entity type
Individual (Type 1)
Enumeration date
September 27, 2016
Last updated
September 27, 2016
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X 41YS00600100 NJ

About Lara Jacobs

Lara Ilysse Jacobs, MS, CCC-SLP is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 23 Hoffman St, Maplewood, NJ 07040-1113. The NPI number 1225587686 was assigned on September 27, 2016 and the record was last updated on September 27, 2016.

Lara Jacobs lists a license in the registry: #41YS00600100 (NJ) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Lara Ilysse Jacobs, MS, CCC-SLP?

The NPI number is 1225587686.

What is the phone number of Lara Jacobs?

The phone number listed for the practice location is (212) 851-6231.

Where is Lara Jacobs located?

23 Hoffman St, Maplewood, NJ 07040-1113.

What is the taxonomy code for Lara Jacobs?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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