Individual
DR. MICHELLE CARLEY JACOBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
55 FRUIT ST, WARREN 1220, BOSTON, MA 02114-2621
(617) 724-9119
Mailing address
PO BOX 9142, CHARLSTOWN, MA 02129-9142
(617) 724-9119
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
7365
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0500259
—
MA
01
—
723413
TUFTS HEALTH PLAN
MA
01
—
W06093
BCBS MA
MA
Enumeration date
02/13/2006
Last updated
06/26/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us