| Ingrid Jacobs, Ph.d., P.a. | |
|
1 E Center St Ste 333 Fayetteville AR 72701-5303 | |
| (479) 236-9813 | |
| Not Available |
| Full Name | Ingrid Jacobs, Ph.d., P.a. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1 E Center St Ste 333, Fayetteville, Arkansas |
| Authorized Official Name and Position | Ingrid Jacobs (PSYCHOLOGIST) |
| Authorized Official Contact | 4792369813 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ingrid Jacobs, Ph.d., P.a. 1 E Center St Ste 333 Fayetteville AR 72701-5303 Ph: () - | Ingrid Jacobs, Ph.d., P.a. 1 E Center St Ste 333 Fayetteville AR 72701-5303 Ph: (479) 236-9813 |
| NPI Number | 1609162239 |
|---|---|
| Provider Enumeration Date | 06/22/2011 |
| Last Update Date | 06/22/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609162239 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 10-11P (Arkansas) | Primary |
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