| Mary Casey Jacob, PHD | |
|
263 Farmington Ave, Farmington, CT 06030-0001 | |
| (860) 679-4550 | |
| (860) 679-1845 |
| Full Name | Mary Casey Jacob |
|---|---|
| Gender | Female |
| Speciality | Psychologist |
| Location | 263 Farmington Ave, Farmington, Connecticut |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083612246 | NPI | - | NPPES |
| 1083612246 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 001621 (Connecticut) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Casey Jacob, PHD 263 Farmington Ave, Provider Enrollment, Farmington, CT 06030-2212 Ph: (860) 679-7503 | Mary Casey Jacob, PHD 263 Farmington Ave, Farmington, CT 06030-0001 Ph: (860) 679-4550 |
Julian Ford, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 10 Talcott Notch Rd, Farmington, CT 06032 Phone: 860-679-6700 Fax: 860-679-6736 | |
Dr. Cynthia Lynn Nye, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 270 Farmington Ave, Ste 309, Farmington, CT 06032 Phone: 860-677-5570 | |
Carla L Corcione, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 270 Farmington Ave, Suite 309, Farmington, CT 06032 Phone: 860-677-5570 Fax: 860-677-9570 | |
Dr. Nicole Sirrine Marshall, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10 Forest Park Dr, Farmington, CT 06032 Phone: 860-269-7813 Fax: 860-269-8621 | |
Dr. Sandra Scantling, PSY.D., APRN Psychologist Medicare: Not Enrolled in Medicare Practice Location: 778 Farmington Ave, Farmington, CT 06032 Phone: 860-677-1910 | |
Adrienne Vyse Miscimarra, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 11 South Rd Ste 130, Farmington, CT 06032 Phone: 860-224-5161 |