Provider Demographics
NPI:1508199753
Name:JACOBSON, BARBARA H (PHD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:H
Last Name:JACOBSON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:VANDERBILT VOICE CTR
Mailing Address - Street 2:1215 MEDICAL CENTER DRIVE
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37232-0001
Mailing Address - Country:US
Mailing Address - Phone:615-343-7464
Mailing Address - Fax:615-343-0872
Practice Address - Street 1:VANDERBILT VOICE CTR
Practice Address - Street 2:1215 MEDICAL CENTER DRIVE
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-0001
Practice Address - Country:US
Practice Address - Phone:615-343-7464
Practice Address - Fax:615-343-0872
Is Sole Proprietor?:No
Enumeration Date:2009-09-04
Last Update Date:2009-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2998235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist