Individual
DR. MARTA ROSA JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY D
Contact information
Practice address
1599 PASSION VINE CIR, WESTON, FL 33326-3659
(305) 336-9714
Mailing address
1599 PASSION VINE CIR, WESTON, FL 33326-3659
(305) 336-9714
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY6624
FL
Other
Enumeration date
03/25/2008
Last updated
03/25/2008
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