Organization
BRIDGEWAY PSYCHOLOGICAL ASSOCIATES LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIE A JACOBS PH.D. (OWNER)
(608) 756-9090
Entity
Organization
Contact information
Practice address
519 MIDLAND CT, SUITE 102, JANESVILLE, WI 53546-2348
(608) 756-9090
(608) 756-2920
Mailing address
519 MIDLAND CT, SUITE 102, JANESVILLE, WI 53546-2348
(608) 756-9090
(608) 756-2920
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
882-057
WI
Other
Enumeration date
10/12/2006
Last updated
08/22/2020
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