Individual
DR. MYRNA JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYCHOLOGIST
Contact information
Practice address
123 WEEMINUCHE, IGNACIO, CO 81137
(970) 563-4581
(970) 563-0206
Mailing address
1147 EAST PIONEER DRIVE, DURANGO, CO 81301-9235
(970) 259-2723
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2616
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07043391
—
CO
Enumeration date
06/05/2006
Last updated
07/09/2007
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