Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacob Lee Oliver, SLP

Individual provider Speech-Language Pathologist · NPI 1174148936

Jacob Lee Oliver, SLP is a Qualified Speech Language Pathologist in Danville, Arkansas. Qualified in 2017, 9 years ago. Licensed in Arkansas.

Years since qualifying
9
Licensed in
AR
In the registry since
2020
What do these letters mean?
SLP — Speech-Language Pathologist
Treats speech, language and swallowing disorders.

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Practice location Address checks out

719 Detroit Ave
Danville, AR 72833-9607
Phone: (479) 495-6252
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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 200110 (AR)

Record details

NPI number1174148936
Entity typeIndividual (Type 1)
GenderMale
Credentials SLP
Sole proprietorNo
NPI enumeratedJune 8, 2020
Last updated in NPPESJune 8, 2020
Certification dateJune 8, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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