Individual
DR. PAMELA JEAN JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D., L.P.
Contact information
Practice address
517 N 17TH ST, MONTEVIDEO, MN 56265-3067
(320) 269-6581
(855) 562-7905
Mailing address
PO BOX 787, WILLMAR, MN 56201-0787
(320) 235-4613
(855) 625-7406
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP5828
MN
Other
Enumeration date
10/04/2012
Last updated
12/23/2015
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