Individual
DR. INGRID JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1 E CENTER ST STE 333, FAYETTEVILLE, AR 72701-5349
(479) 236-9813
Mailing address
1 E. CENTER STREET, SUITE 333, FAYETTEVILLE, AR 72701
(479) 236-9813
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
10-11P
AR
Other
Enumeration date
06/27/2010
Last updated
03/11/2011
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