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

Stephanie Jacob

Individual provider Speech-Language Pathologist · NPI 1174836282

Stephanie Jacob is a Speech-Language Pathologist in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2010

Practice location Address checks out

4045 E Union Hills Dr Ste 110
Phoenix, AZ 85050-3389
Phone: (602) 485-4444
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 TSLP6659 (AZ)

Record details

NPI number1174836282
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 17, 2010
Last updated in NPPESApril 10, 2020
Certification dateApril 10, 2020
Mailing address7631 W McRae Way, Glendale, AZ 85308-5947

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