Individual
DR. MINDY RUTH JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1808 T ST NW, WASHINGTON, DC 20009-7126
(202) 236-6365
Mailing address
1808 T ST NW, WASHINGTON, DC 20009-7126
(202) 236-6365
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY1011
DC
Other
Enumeration date
04/15/2018
Last updated
04/15/2018
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