Monica I Jacobson, PhD
Psychologist in Kewaunee, WI. Individual provider (NPI-1).
NPI number1003917907
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1003917907
- Entity type
- Individual (NPI-1)
- Name
- Monica I Jacobson
- Credential
- PhD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 26, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 1595057 | WI | Yes |
Practice location
810 Lincoln StreetKewaunee, WI 54216
Phone 920-388-7030 · Fax 920-388-7044
Mailing address
810 Lincoln StreetKewaunee, WI 54216
Phone 920-388-7030 · Fax 920-388-7044
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