Organization
JANICE JACOBS, PH.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANICE JACOBS PHD (MANAGER)
(561) 302-0887
Entity
Organization
Contact information
Practice address
7035 BERACASA WAY STE 201, BOCA RATON, FL 33433-3408
(561) 302-0887
(561) 419-6586
Mailing address
7234 CARMEL CT, BOCA RATON, FL 33433-5544
(561) 302-0887
(561) 419-6586
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY6368
FL
Other
Enumeration date
07/29/2014
Last updated
02/15/2024
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