Individual
DR. DAVID MICHAEL JACOBI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3425 SUPERIOR AVE, SHEBOYGAN, WI 53081-1863
(920) 458-5557
Mailing address
3425 SUPERIOR AVE, SHEBOYGAN, WI 53081-1863
(920) 458-5557
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2689-057
WI
Other
Enumeration date
02/06/2008
Last updated
02/06/2008
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