Organization
WENDY JACOBS, JD, PHD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WENDY L JACOBS PH.D. (OWNER)
(941) 402-7520
Entity
Organization
Contact information
Practice address
2650 BAHIA VISTA ST STE 201, SARASOTA, FL 34239-2625
(941) 402-7520
Mailing address
PO BOX 17263, SARASOTA, FL 34276-0263
(941) 402-7520
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY6367
FL
Other
Enumeration date
01/12/2012
Last updated
11/10/2020
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