Individual
DR. KELLY B JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1850 LEE RD, SUITE 234, WINTER PARK, FL 32789-2115
(407) 678-0100
Mailing address
1850 LEE RD, SUITE 234, WINTER PARK, FL 32789-2115
(407) 678-0100
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PY 0007292
FL
Other
Enumeration date
04/10/2007
Last updated
09/01/2009
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