Individual
KATHERINE ANN JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
30600 NORTHWESTERN HWY, SUITE 210, FARMINGTON HILLS, MI 48334-3161
(248) 788-1587
(248) 539-7713
Mailing address
30600 NORTHWESTERN HWY, SUITE 210, FARMINGTON HILLS, MI 48334-3161
(248) 788-1587
(248) 539-7713
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301006582
MI
Other
Enumeration date
04/24/2007
Last updated
08/03/2015
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