Individual
DR. BETHANNE THUMM JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2807 NEUSE BLVD, STE 5, NEW BERN, NC 28562-2815
(252) 636-0112
(252) 634-9778
Mailing address
2807 NEUSE BLVD, STE 5, NEW BERN, NC 28562-2815
(252) 636-0112
(252) 634-9778
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3037
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
135A8
BCBSNC
NC
01
—
1396724936
HEALTH NET TRICARE FEDERAL SERVICES
NC
05
—
6000484
—
NC
Enumeration date
01/12/2006
Last updated
10/19/2010
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