| Jeanette S. Jacobs, Psy.d. | |
|
1109 W Euclid Ave Deland FL 32720-6553 | |
| (386) 943-9040 | |
| Not Available |
| Full Name | Jeanette S. Jacobs, Psy.d. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1109 W Euclid Ave, Deland, Florida |
| Authorized Official Name and Position | Jeanette S Jacobs (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 3869439040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeanette S. Jacobs, Psy.d. 1109 W Euclid Ave Deland FL 32720-6553 Ph: (386) 943-9040 | Jeanette S. Jacobs, Psy.d. 1109 W Euclid Ave Deland FL 32720-6553 Ph: (386) 943-9040 |
| NPI Number | 1215404801 |
|---|---|
| Provider Enumeration Date | 11/01/2018 |
| Last Update Date | 11/01/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215404801 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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