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Individual

JAMIE M JACOBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
55 FRUIT ST., MASSACHUSETTS GENERAL HOSPITAL, BOSTON, MA 02114
(617) 724-5600
Mailing address
55 FRUIT ST STE 10B, MASSACHUSETTS GENERAL HOSPITAL, BOSTON, MA 02114-2621
(617) 643-1777

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
10459
MA

Other

Enumeration date
04/22/2014
Last updated
11/14/2016
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