Individual
DR. MARTI G JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
8921 THREE CHOPT RD, SUITE 202, RICHMOND, VA 23229-4601
(804) 282-6165
(804) 282-3038
Mailing address
8921 THREE CHOPT RD, SUITE 202, RICHMOND, VA 23229-4601
(804) 282-6165
(804) 282-3038
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810002489
VA
Other
Enumeration date
08/06/2013
Last updated
08/06/2013
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