Katherine B Jacobs, M.S., CCC SLP
Individual provider Active NPI Speech-Language Pathologist · Victoria, MN
NPI 1881817229 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1881817229
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 7325 (MN)
- Practice address
- 1772 Steiger Lake LN
Victoria, MN 55386-7723 - Phone
- (952) 443-9888
- NPI assigned
- Apr 11, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7325 | MN | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 7325 | MN | Yes |
Addresses
Primary practice location
1772 Steiger Lake LN
Victoria, MN 55386-7723
Mailing address
4838 36TH Ave S
Minneapolis, MN 55417-1513
Phone (612) 724-9138
Other practice location 1
3001 Harbor Ln N
Plymouth, MN 55447-5102
Phone (763) 551-3652
Other practice location 2
8758 Egan Dr
Savage, MN 55378-2561
Phone (952) 443-9888
Other providers in Victoria, MN
- Christine Herzog
- His House Foundation
- Cynthia Marie Huntimer
- Heather Marlene Hurley Vangerud
- Inner Compass LLC
- Jennifer Susan Johnson
- Kandace Faye Johnson
- Tiffany Kasheimer
- Kelsey Marie Keltgen
- Kid Talk Inc
All providers in Victoria, MN · Speech-Language Pathologist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. 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.