Organization
DIANA JACOBS PHD. LICENSED PSYCHOLOGIST PS
Active
Organization
DIANA JACOBS PHD. LICENSED PSYCHOLOGIST PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA JACOBS PHD (OWNER)
(360) 734-7310
Entity
Organization
Contact information
Practice address
960 HARRIS AVE STE 205, BELLINGHAM, WA 98225-7025
(360) 734-7310
(360) 647-8336
Mailing address
12 BELLWETHER WAY STE 220, BELLINGHAM, WA 98225-2914
(360) 734-7310
(360) 647-8336
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY00002516
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790883353
NPI
WA
Enumeration date
03/22/2017
Last updated
06/03/2019
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