Individual
DR. ANDREW A JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
800 W 47TH ST, STE 514, KANSAS CITY, MO 64112-1251
(816) 561-5556
(816) 756-3151
Mailing address
800 W 47TH ST, STE 514, KANSAS CITY, MO 64112-1251
(816) 561-5556
(816) 756-3151
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
R0244
MO
103TE1100X
Exercise & Sports Psychologist
R0244
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16045018
BCBS
MO
Enumeration date
08/23/2005
Last updated
12/21/2010
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