Organization
NAOMI T. JACOBS, PH.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAOMI JACOBS (PSYCHOLOGIST)
(904) 687-6336
Entity
Organization
Contact information
Practice address
100 EXECUTIVE WAY, SUITE 207, PONTE VEDRA BEACH, FL 32082-2715
(904) 687-6336
Mailing address
100 EXECUTIVE WAY, SUITE 207, PONTE VEDRA BEACH, FL 32082-2715
(904) 687-6336
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
01/27/2012
Last updated
09/17/2013
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