Jacobs, Pamela S

Jacobs, Pamela S is an individual health care provider with primary practice located at 1616 Cornwall Ave Ste 205 , Bellingham WA 98225-4642. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Jacobs, Pamela S can be contacted via phone (360) 676-6177.

Contact Information

Primary practice address
1616 Cornwall Ave Ste 205 Bellingham WA 98225-4642
Phone: (360) 676-6177
Fax: (360) 671-3574
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1142 Oregon
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY61247572 Washington

Profile Details

NPI number 1366462418
LBN Legal business name Jacobs, Pamela S
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Apr 20th, 2023 - about 2 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 1366462418 NPPES
Washington MEDICAID 2025952
Washington MEDICAID 500655828

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