Individual
DR. MEGHAN KELLY JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
9970 CENTRAL PARK BLVD N, SUITE 207, BOCA RATON, FL 33428-2231
(561) 245-4622
(561) 613-6476
Mailing address
6941 BRUCE CT, LAKE WORTH, FL 33463-7469
(954) 895-1812
(954) 315-7939
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY8252
FL
103TC0700X
Clinical Psychologist
PY8252
FL
Other
Enumeration date
03/28/2011
Last updated
09/08/2014
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