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

Individual provider Speech-Language Pathologist · NPI 1396278750

Randi Jacoby, MSCCC is a Speech-Language Pathologist in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2017
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Practice location Address checks out

1623 3rd Ave Ste 202
New York, NY 10128-3638
Phone: (212) 772-2238
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 0038961 (NY)

Record details

NPI number1396278750
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC
Sole proprietorYes
NPI enumeratedApril 4, 2017
Last updated in NPPESApril 4, 2017

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