Individual
MR. GEORGE JACOBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A. SLPE
Contact information
Practice address
3810 WINCHESTER RD, MEMPHIS, TN 38118-6045
(901) 369-1420
(901) 369-1433
Mailing address
1987 JAMES RD, MEMPHIS, TN 38127-8826
(901) 353-9716
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
310
TN
Other
Enumeration date
02/23/2009
Last updated
02/23/2009
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