Active NPIIndividual providerSole proprietor

Kristen Jacobsen, MS

Speech-Language Pathologist, in Concord, Massachusetts

NPI Number1417582388
Practice location
747 Main St Ste 307, Concord, MA 01742-3329
Fax
—
Last updated
March 11, 2020

Kristen Jacobsen is a Speech-Language Pathologist, based in Concord, MA. Kristen Jacobsen practices in Concord, MA and has the professional credentials of MS. The NPI Number for Kristen Jacobsen is 1417582388 and holds a License No. 5094 (MA). The current practice location address for Kristen Jacobsen is 747 Main St Ste 307, Concord, MA 01742-3329 and can be reached out via phone at 978-369-5200.

Provider Profile Details

NPI Number
1417582388
Provider Name
Kristen Jacobsen
Credential
MS
Provider Entity Type
Individual
Gender
Female
Address
747 Main St Ste 307, Concord, MA 01742-3329
Phone Number
978-369-5200
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 11, 2020
Last Update Date
March 11, 2020
Certification Date
March 11, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
747 Main St Ste 307
Concord, MA 01742-3329
Zip
01742-3329
Phone Number
978-369-5200
Concord, MA 01742Get directions →

Provider Business Mailing Address Details

Address
9 Rockwood Heights RD
Manchester, MA 01944-1029
City
Manchester
State
MA
Zip
01944-1029
Phone Number
978-241-2442

License Information

License Number
5094
License State
MA
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kristen Jacobsen, MS?

The NPI number of Kristen Jacobsen, MS is 1417582388. It was assigned on March 11, 2020 and is currently active in the NPPES registry.

What is the specialty of Kristen Jacobsen, MS?

Kristen Jacobsen, MS is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in MA under license number 5094.

Where does Kristen Jacobsen, MS practice?

The practice location is 747 Main St Ste 307, Concord, MA 01742-3329. The office can be reached at 978-369-5200 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417582388 directly on the NPPES registry website.

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