Scott Michael Jacoby PH.D.

NPI 1073826913 - Psychologist - 103TB0200X

NPI Details
NPI 1073826913
Gender Male
Enumeration Date 07/20/2010
Last Updated 07/20/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
2110 LYNDALE AVE S
MINNEAPOLIS MN, 55405-3196, US
Phone (952) 353-5931
Fax
Business Location
935 WINSLOW AVE
WEST ST PAUL MN, 55118-1340, US
Phone (612) 669-3430
Fax
Toxanomy
Taxonomy Code 103TB0200X
License State Minnesota
License Number 5269
Remove 1073826913 NPI Number
 

According to our database, Dr. Scott Michael Jacoby PH.D. NPI is 1073826913, taxonomy code is 103TB0200X and license number is 5269, license state is located at Minnesota. Scott Michael Jacoby PH.D. physically located at 2110 Lyndale Ave S, Minneapolis MN, 55405-3196. NPI Number Scott Michael Jacoby PH.D. has the Individual type.

Sponsored links

1073826913 NPI number is provided on an as is basis without warranty of any kind. 1073826913 is maintained by the National Plan & Provider Enumeration System. The contents of Scott Michael Jacoby PH.D. are for informational purposes only.