# JD JACOBSON DVM PHD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Intentional Living Psychological Services of Lawrence
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336621853
- **Authorized official:** DR. JOHN D JACOBSON PHD (LICENSED PSYCHOLOGIST)
- **Authorized official phone:** (785) 764-1357

## Contact information

- **Practice address:** 5040 BOB BILLINGS PKWY STE A1, LAWRENCE, KS 66049-3873
- **Practice address phone:** (785) 764-1357
- **Mailing address:** 243 EARHART CIR, LAWRENCE, KS 66049-4739
- **Mailing address phone:** (785) 764-1357
- **Mailing address fax:** (785) 330-5054

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | 2599 | KS | Yes |

## Other

- **Enumeration date:** 08/31/2018
- **Last updated:** 10/27/2022