Individual
JACOB MANUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
9600 VETERANS DR SW, TACOMA, WA 98493-4218
(253) 582-8440
Mailing address
9600 VETERANS DR SW, TACOMA, WA 98493-0003
(532) 582-8440
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3667
OR
Other
Enumeration date
09/10/2015
Last updated
09/26/2023
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