Individual
GEORGENA JACOBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
7800 S ELATI ST, SUITE 320, LITTLETON, CO 80120-4483
(303) 794-7761
(303) 794-7811
Mailing address
7800 S ELATI ST, SUITE 320, LITTLETON, CO 80120-4483
(303) 794-7761
(303) 794-7811
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2085
CO
Other
Enumeration date
11/02/2006
Last updated
07/08/2007
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