Individual
DELORES A. JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2991 KALMIA ST, SAN DIEGO, CA 92104-5414
(619) 379-8491
Mailing address
5005 WESTMINSTER TER, SAN DIEGO, CA 92116-2104
(619) 379-8491
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY12342
CA
Other
Enumeration date
04/18/2019
Last updated
04/18/2019
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