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

Marissa Jade Jacobson, MSCCCSLP

Individual provider Speech-Language Pathologist · NPI 1366729899

Marissa Jade Jacobson, MSCCCSLP is a Speech-Language Pathologist in Surfside, Florida. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011

Practice location Address checks out

9455 Collins Ave Apt 504
Surfside, FL 33154-2671
Phone: (646) 402-3596
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 021346 (NY)

Record details

NPI number1366729899
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCCSLP
Sole proprietorNo
NPI enumeratedNovember 11, 2011
Last updated in NPPESJuly 29, 2016
Mailing address9455 Collins Ave Apt 504, Surfside, FL 33154-2671

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