Individual provider · Type 1 NPI

Kyra Ann Jacob, M.S., CCC-SLP

Speech-Language Pathologist · Papillion, NE

NPI number 1568360659 Active

Practice location

10601 S 72nd St
Papillion, NE 68046-3407

Call (402) 932-2782 Map

Mailing address

3911 N 209th St
Elkhorn, NE 68022-5150

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X3114 (NE)

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1568360659

Kyra Ann Jacob, M.S., CCC-SLP's National Provider Identifier is 1568360659, issued on Oct 28, 2026. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Papillion, NE. The record was last updated on Oct 28, 2026.