Individual
DR. ANN LIEBERT JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
256 HONEYSUCKLE ROAD, SUITE 14, DOTHAN, AL 36305
(334) 794-5467
(334) 677-1051
Mailing address
256 HONEYSUCKLE ROAD, SUITE 14, DOTHAN, AL 36305
(334) 794-5467
(334) 677-1051
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
000928
GA
103T00000X
Psychologist
Primary
321
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
68BBFFV
MEDICARE
GA
Enumeration date
09/06/2006
Last updated
07/08/2007
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