Jacobs, Carolyn Frances
Jacobs, Carolyn Frances is an sole proprietor health care provider with primary practice located at 625 3Rd Ave , Chula Vista CA 91910-5703. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Jacobs, Carolyn Frances can be contacted via phone (619) 525-7747.Contact Information
Primary practice address
625 3Rd Ave
Chula Vista CA 91910-5703
Phone: (619) 525-7747
Fax: (619) 476-7566
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY15774 | California |
Profile Details
NPI number | 1093750655 |
---|---|
LBN Legal business name | Jacobs, Carolyn Frances |
Credentials | PSY.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 18th, 2006 |
Last updated | Mar 5th, 2014 - about 11 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1093750655 | NPPES |
California | Other | CP938A | MEDICARE PTAN |
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