Individual
AMANDA KAY JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2215 FULLER RD, ANN ARBOR, MI 48105-2303
(734) 769-7100
Mailing address
2215 FULLER RD, ANN ARBOR, MI 48105-2303
(734) 644-0608
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
6301014429
MI
103TF0200X
Forensic Psychologist
Primary
6301014429
MI
Other
Enumeration date
09/10/2008
Last updated
03/10/2026
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