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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. LARA ILYSSE JACOBS, MS, CCC-SLP

Active Sole Proprietor

MRS. LARA ILYSSE JACOBS, MS, CCC-SLP is a Speech, Language and Hearing Specialist healthcare provider located in MAPLEWOOD, New Jersey. NPI 1225587686 is currently active in the NPPES registry. Verify at CMS.

Speech, Language and Hearing Specialist · MAPLEWOOD, NJ

Registration Details

NPI Number
1225587686
Provider Type
Individual
Gender
Female
NPI Issued
Sep 27, 2016 (9.8427367458622 yrs)
Last Updated
Sep 27, 2016
License
41YS00600100 (NJ)
Sole Proprietor
Yes

Practice Information

Address
23 HOFFMAN ST
MAPLEWOOD, NJ, 070401113
Browse NJ providers · Browse ZIP 07040
Phone
2128516231
Primary Specialty
Speech, Language and Hearing Specialist
235Z00000X

Other Speech, Language and Hearing Specialist Providers in MAPLEWOOD, NJ

Name Credential NPI
JACLYN BORRONE M.A. 1386834018
ROBIN SCHEIB MS-CCC-SLP 1881852341
RACHEL GOLDMAN M.S. CCC-SLP 1457602153
MS. LEAH D FERENCZ 1811238371
MRS. KIMBERLY ELIZABETH OAKS TAKACS M.S., CCC-SLP 1568897577
AMY MARIE LAFLEUR 1992175418
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.