Jacob Waters

Speech-Language Pathologist · Colonial Heights, VA

Individual Active NPI

NPI number 1568857035

Practice location

235 Dunlop Farms Blvd
Colonial Heights, VA 23834-1792
Phone
(804) 520-0050

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NPI record

NPI
1568857035
Entity type
Individual (Type 1)
Enumeration date
April 1, 2015
Last updated
August 31, 2023
Certified
August 31, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X 2202007850 VA

Mailing address

4716 Wilconna Rd
Chesterfield, VA 23832-7657
Phone
(804) 528-9784

About Jacob Waters

Jacob Waters is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 235 Dunlop Farms Blvd, Colonial Heights, VA 23834-1792. The NPI number 1568857035 was assigned on April 1, 2015 and the record was last updated on August 31, 2023.

Jacob Waters lists a license in the registry: #2202007850 (VA) 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 Jacob Waters?

The NPI number is 1568857035.

What is the phone number of Jacob Waters?

The phone number listed for the practice location is (804) 520-0050.

Where is Jacob Waters located?

235 Dunlop Farms Blvd, Colonial Heights, VA 23834-1792.

What is the taxonomy code for Jacob Waters?

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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