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

Individual provider Speech-Language Pathologist · NPI 1235596099

Kelsey Jacobsen, CCC-SLP is a Speech-Language Pathologist in Los Gatos, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2016
What do these letters mean?
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

17196 Fawndale Dr
Los Gatos, CA 95032-6501
Phone: (408) 219-9947
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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 22665 (CA)

Record details

NPI number1235596099
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorYes
NPI enumeratedJanuary 25, 2016
Last updated in NPPESFebruary 11, 2022

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