Jacobsen, Tiffany M

Jacobsen, Tiffany M is an individual health care provider with primary practice located at 2448 S 102Nd St Ste 270 , Milwaukee WI 53227-2147. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Jacobsen, Tiffany M can be contacted via phone (414) 800-7645.

Contact Information

Primary practice address
2448 S 102Nd St Ste 270 Milwaukee WI 53227-2147
Phone: (414) 800-7645
Fax: (414) 800-7647
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 3720-57 Wisconsin
Behavioral Health & Social Service Providers / Psychologist 103T00000X 3720-57 Wisconsin

Profile Details

NPI number 1821360199
LBN Legal business name Jacobsen, Tiffany M
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2012
Last updated May 3rd, 2022 - about 3 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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