Jacobel, Pamala Wood

Jacobel, Pamala Wood is an sole proprietor health care provider with primary practice located at 402 Washington St Suite A, Northfield MN 55057-5190. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Jacobel, Pamala Wood can be contacted via phone (507) 645-4253.

Contact Information

Primary practice address
402 Washington St Suite A Northfield MN 55057-5190
Fax: (507) 645-6658
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP2861 Minnesota

Profile Details

NPI number 1598765265
LBN Legal business name Jacobel, Pamala Wood
Credentials PH.D., L.P.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2005
Last updated Feb 14th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598765265 NPPES
Minnesota MEDICAID 574048700

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