Individual
DR. LEAH JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2520 SAINT ROSE PKWY STE 108, HENDERSON, NV 89074-7784
(725) 209-7090
Mailing address
1769 QUIVER POINT AVE, HENDERSON, NV 89012-3482
(845) 304-6339
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
022505
NY
103T00000X
Psychologist
Primary
PY0959
NV
Other
Enumeration date
06/25/2020
Last updated
06/11/2021
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