Individual
DR. NOEL JAMESON JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1200 N PHILLIPS AVE, SUITE 12400, OKLAHOMA CITY, OK 73104-4600
(405) 285-4440
(405) 271-8709
Mailing address
4621 NW 157TH TER, EDMOND, OK 73013-8954
(405) 285-4440
(405) 271-8709
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
980
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200099360A
—
OK
Enumeration date
12/05/2006
Last updated
07/05/2011
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