Individual
DR. DIANA P. JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
960 HARRIS AVE # 220, BELLINGHAM, WA 98225-7009
(360) 734-7310
(360) 647-8336
Mailing address
12 BELLWETHER WAY STE 220, BELLINGHAM, WA 98225-2914
(360) 734-7310
(360) 647-8336
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY00002516
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245761188
NPPES
WA
Enumeration date
09/20/2006
Last updated
05/28/2019
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