Jacobs, Lara Ilysse

Jacobs, Lara Ilysse is an sole proprietor health care provider with primary practice located at 23 Hoffman St , Maplewood NJ 07040-1113. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Jacobs, Lara Ilysse can be contacted via phone (212) 851-6231.

Contact Information

Primary practice address
23 Hoffman St Maplewood NJ 07040-1113
Phone: (212) 851-6231
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 41YS00600100 New Jersey

Profile Details

NPI number 1225587686
LBN Legal business name Jacobs, Lara Ilysse
Credentials MS, CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 27th, 2016
Last updated Sep 27th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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