Dr. Tiffany M Jacobsen, PsyD
Psychologist, Clinical in Milwaukee, WI. Individual provider (NPI-1).
NPI number1821360199
StatusActive
Last updated in NPPESFeb 4, 2026
Details
- NPI
- 1821360199
- Entity type
- Individual (NPI-1)
- Name
- Dr. Tiffany M Jacobsen
- Credential
- PsyD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 2, 2012
- Certification date
- Feb 4, 2026
- Last updated
- Feb 4, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 3720-57 | WI | Yes |
| 103G00000X | Clinical Neuropsychologist | 3720-57 | WI | |
| 103T00000X | Psychologist | 3720-57 | WI |
Practice location
2448 S 102nd St Ste 270Milwaukee, WI 53227-2147
Phone 414-800-7645 · Fax 414-800-7647
Mailing address
16535 W Bluemound RdSte 200
Brookfield, WI 53005-5906
Phone 414-800-7645 · Fax 414-800-7647
Other practice locations
16535 W Bluemound Rd Ste 200
Brookfield, WI 53005-5906
Brookfield, WI 53005-5906
Phone 262-789-1191
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