NPIMap

Lauren Jacobs, M. ED, CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Crawfordville, FL

NPI 1346873759 · NPPES record last updated Jun 5, 2024

Key facts

NPI
1346873759
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SA18756 (FL)
Practice address
30 Belin CT
Crawfordville, FL 32327-5856
Phone
(850) 228-7441
NPI assigned
Feb 14, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
SA18756FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
John D Archbold Memorial Hospital Inc Past
since Feb 1, 2020		 Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA18756 FL Yes

Addresses

Primary practice location

30 Belin CT
Crawfordville, FL 32327-5856

Mailing address

30 Belin CT
Crawfordville, FL 32327-5856
Phone (850) 228-7441

Other providers in Crawfordville, FL

All providers in Crawfordville, FL · Speech-Language Pathologist in Florida

Sources for this page

Verify at the official NPI Registry.