Provider Demographics
NPI:1518335512
Name:JOBES, RILEY (MA CF-SLP)
Entity Type:Individual
Prefix:
First Name:RILEY
Middle Name:
Last Name:JOBES
Suffix:
Gender:M
Credentials:MA CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1629 MARSH HARBOR LN
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-4569
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7763 NORTHSIDE DR
Practice Address - Street 2:ATTN: RILEY JOBES - SPEECH THERAPY
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29420-8944
Practice Address - Country:US
Practice Address - Phone:843-764-2212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-08
Last Update Date:2015-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist