Individual
DR. SCOTT MICHAEL JACOBY
Active
Individual
DR. SCOTT MICHAEL JACOBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
5269
MN
103TC0700X
Clinical Psychologist
Primary
5269
MN
103TP2701X
Group Psychotherapy Psychologist
5269
MN
Other
Enumeration date
07/20/2010
Last updated
07/20/2010
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