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:
Health care specialties
Specialty | Code | License # | 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 last year |
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 | 1366462418 | NPPES |
Washington | MEDICAID | 2025952 | |
Washington | MEDICAID | 500655828 |
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