Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacob L Rose, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1134671043

Jacob L Rose, MS, CCC-SLP is a Speech-Language Pathologist in Virginia Beach, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2016
What do these letters mean?
MS — Master of Science
A graduate science degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

4560 S Blvd Ste 310
Virginia Beach, VA 23452-1160
Phone: (757) 490-3223
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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 2202011190 (VA)

Record details

NPI number1134671043
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , CCC-SLP
Sole proprietorYes
NPI enumeratedOctober 26, 2016
Last updated in NPPESJune 29, 2026
Certification dateJune 29, 2026

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