Dr. Pamela Jean Jacobson, Psy.D., L.P.
Psychologist, Clinical in Montevideo, MN. Individual provider (NPI-1).
NPI number1255683066
StatusActive
Last updated in NPPESDec 23, 2015
Details
- NPI
- 1255683066
- Entity type
- Individual (NPI-1)
- Name
- Dr. Pamela Jean Jacobson
- Credential
- Psy.D., L.P.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 4, 2012
- Last updated
- Dec 23, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | LP5828 | MN | Yes |
Practice location
517 N 17th StMontevideo, MN 56265-3067
Phone 320-269-6581 · Fax 855-562-7905
Mailing address
Po Box 787Willmar, MN 56201-0787
Phone 320-235-4613 · Fax 855-625-7406
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