STEPHANIE JACOB

PHOENIX, AZ
NPI1174836282
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: AZ  TSLP6659)
Enumeration Date2010-07-17
Last Update Date2020-04-10
Business Address
STEPHANIE JACOB
4045 E UNION HILLS DR STE 110
PHOENIX, AZ 85050-3389
Phone number: 602-485-4444
Mailing Address
STEPHANIE JACOB
7631 W MCRAE WAY
GLENDALE, AZ 85308-5947
Phone number: 602-769-9263