Individual
DR. ELIZABETH A JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 916-6575
Mailing address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 539-9582
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PY8187
FL
103TC0700X
Clinical Psychologist
Primary
PY8187
FL
Other
Enumeration date
03/28/2009
Last updated
07/29/2020
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