Myrna Jacobson, PSYCHOLOGIST Valid NPI

Individual provider · Clinical Psychologist · Ignacio, CO

NPI

1295774230

Type

Individual (Type 1)

Primary specialty

Clinical Psychologist (Psychologist)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

103TC0700X

License number

2616 (CO)

Sex

Female

Sole proprietor

Yes

Enumerated

2006-06-05

Last updated

2007-07-09