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Individual

DEBORAH JACOBSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
1400 EMELINE AVE, SANTA CRUZ, CA 95060-1976
(831) 454-4429
Mailing address
1400 EMELINE AVE, SANTA CRUZ, CA 95060-1976
(831) 454-4429

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY12652
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PSY12652
PSYCHOLOGY LICENCE #
CA
Enumeration date
07/02/2007
Last updated
07/08/2007
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