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
Fax: (619) 476-7566
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093750655 NPPES
California Other CP938A MEDICARE PTAN

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