Individual
DR. KARL FLINT JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
1135 MAKAWAO AVE, SUITE 226, MAKAWAO, HI 96768
(808) 572-0631
Mailing address
1135 MAKAWAO AVE, SUITE 226, MAKAWAO, HI 96768
(808) 572-0631
(808) 572-3090
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY622
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00232501
—
HI
Enumeration date
12/28/2006
Last updated
07/08/2007
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