Active NPIIndividual provider

Mallory Jacobs

Speech-Language Pathologist, in Brooklyn, New York

NPI Number1942722863
Practice location
201 Conselyea St, Brooklyn, NY 11211-2516
Fax
—
Last updated
December 21, 2023

Mallory Jacobs is a Speech-Language Pathologist, based in Brooklyn, NY. Mallory Jacobs practices in Brooklyn, NY. The NPI Number for Mallory Jacobs is 1942722863 and holds a License No. 41YS01044500 (NJ). The current practice location address for Mallory Jacobs is 201 Conselyea St, Brooklyn, NY 11211-2516 and can be reached out via phone at 718-782-1462.

Provider Profile Details

NPI Number
1942722863
Provider Name
Mallory Jacobs
Provider Entity Type
Individual
Gender
Female
Address
201 Conselyea St, Brooklyn, NY 11211-2516
Phone Number
718-782-1462
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
July 12, 2017
Last Update Date
December 21, 2023
Certification Date
December 21, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
201 Conselyea St
Brooklyn, NY 11211-2516
Zip
11211-2516
Phone Number
718-782-1462
Brooklyn, NY 11211Get directions →

Provider Business Mailing Address Details

Address
78 Jefferson St Apt 4B
Hoboken, NJ 07030-7813
City
Hoboken
State
NJ
Zip
07030-7813

License Information

License Number (1)
41YS01044500
License State (1)
NJ
Taxonomy (1)
Speech-Language Pathologist, · 235Z00000X
License Number (2)
029533
License State (2)
NY
Taxonomy (2)
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 Mallory Jacobs?

The NPI number of Mallory Jacobs is 1942722863. It was assigned on July 12, 2017 and is currently active in the NPPES registry.

What is the specialty of Mallory Jacobs?

Mallory Jacobs is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NJ under license number 41YS01044500.

Where does Mallory Jacobs practice?

The practice location is 201 Conselyea St, Brooklyn, NY 11211-2516. The office can be reached at 718-782-1462 (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 1942722863 directly on the NPPES registry website.

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