Organization
DR. CLAIRE JACOBS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MEGAN RENEE OSTROM (PSYCHOLOGIST)
(210) 403-2050
Entity
Organization
Contact information
Practice address
14607 SAN PEDRO, SUITE 295, SAN ANTONIO, TX 78232-4325
(210) 403-2050
(210) 403-9890
Mailing address
14607 SAN PEDRO,, SUITE 295, SAN ANTONIO, TX 78232-4325
(210) 403-2050
(210) 403-9890
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
23850
TX
103TC2200X
Clinical Child & Adolescent Psychologist
23850
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
033967301
—
TX
Enumeration date
04/03/2007
Last updated
03/21/2012
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