Provider Demographics
NPI:1184826109
Name:JACOBSON, BRANDY RHAE (AUD, CCC-A)
Entity Type:Individual
Prefix:DR
First Name:BRANDY
Middle Name:RHAE
Last Name:JACOBSON
Suffix:
Gender:F
Credentials:AUD, CCC-A
Other - Prefix:
Other - First Name:BRANDY
Other - Middle Name:RHAE
Other - Last Name:RUPERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:13611 SKINNER RD STE 240
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-4691
Mailing Address - Country:US
Mailing Address - Phone:281-256-8215
Mailing Address - Fax:
Practice Address - Street 1:13611 SKINNER RD STE 240
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-4691
Practice Address - Country:US
Practice Address - Phone:281-256-8215
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX51426231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist