Individual
DR. JACOB LEE ORLOFSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8059 SCYENE CIR, DALLAS, TX 75227-5562
(800) 257-8715
(800) 819-1655
Mailing address
2408 BENT HORN CT, PLANO, TX 75025-5147
(972) 396-1839
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
30842
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102805202
—
TX
05
—
102805203
—
TX
05
—
140948401
—
TX
01
—
82982P
BLUE CROSS BLUE SHIELD
TX
01
—
P00013020
RAIL ROAD
TX
Enumeration date
06/17/2006
Last updated
07/12/2007
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