Organization
INGRID JACOBS, PH.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INGRID JACOBS PH.D. (PSYCHOLOGIST)
(479) 236-9813
Entity
Organization
Contact information
Practice address
1 E CENTER ST STE 333, FAYETTEVILLE, AR 72701-5303
(479) 236-9813
Mailing address
1 E CENTER ST STE 333, FAYETTEVILLE, AR 72701-5303
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
10-11P
AR
Other
Enumeration date
06/22/2011
Last updated
06/22/2011
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