Individual provider · Type 1 NPI

Amanda Lynn Jacob, CCC-SLP

Speech-Language Pathologist · Sunrise, FL

NPI number 1912480526 Active

Practice location

14201 W Sunrise Blvd Ste 107
Sunrise, FL 33323-3207

Fax (954) 514-1126

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000XSA17265 (FL)

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 1912480526

Amanda Lynn Jacob, CCC-SLP's National Provider Identifier is 1912480526, issued on Sep 10, 2018. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Sunrise, FL. The record was last updated on Aug 11, 2020.