Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Elizabeth D Jacobs, MACCCSLP

Individual provider Speech-Language Pathologist · NPI 1154530103

Elizabeth D Jacobs, MACCCSLP is a Speech-Language Pathologist in Fairbanks, Alaska. Practices as a sole proprietor. Licensed in Alaska.

Licensed in
AK
In the registry since
2007
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Practice location Address checks out

600 University Ave Ste 110
Fairbanks, AK 99709-3643
Phone: (907) 451-1067
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 155 (AK)

Record details

NPI number1154530103
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCCSLP
Sole proprietorYes
NPI enumeratedMay 22, 2007
Last updated in NPPESMay 5, 2008
Mailing address2025 Green Leaf Rd, Fairbanks, AK 99725-6273

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