Leah Jacobson
Individual provider Active NPI Speech-Language Pathologist · Stratham, NH
NPI 1487220802 · NPPES record last updated May 27, 2021
Key facts
- NPI
- 1487220802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2070 (NH)
- Practice address
- 118 Portsmouth Ave Ste 2B2
Stratham, NH 03885-2487 - Phone
- (603) 580-4363
- Fax
- (603) 580-5760
- NPI assigned
- May 27, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77899 | MA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist |
235Z00000X | 77899 | MA | |
| Speech-Language Pathologist |
235Z00000X | 2070 | NH | Yes |
Addresses
Primary practice location
118 Portsmouth Ave Ste 2B2
Stratham, NH 03885-2487
Mailing address
118 Portsmouth Ave Ste 2B2
Stratham, NH 03885-2487
Phone (603) 580-4363
Other providers in Stratham, NH
- Kristen Holzworth
- Anna Christina Hopkins
- Rebecca Thompson Houlihan
- Robert Jason Howe
- Kaleigh Hyland
- Valerie A. Jacques
- JL Arlen Enterprises Inc
- Daniel Ward Johnson
- Emily A. Johnson
- Kristen Calcagni Johnson
All providers in Stratham, NH · Speech-Language Pathologist in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.