Individual
CONNIE MYERSON JACOCKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
720 S COLORADO BLVD PH NORTH, DENVER, CO 80246-1904
(720) 445-5810
Mailing address
720 S COLORADO BLVD PH NORTH, DENVER, CO 80246-1904
(720) 445-5810
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY0004215
CO
Other
Enumeration date
08/31/2011
Last updated
03/14/2023
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