Jacoby, Scott Michael

Jacoby, Scott Michael is an individual health care provider with primary practice located at 2110 Lyndale Ave S , Minneapolis MN 55405-3196. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Group Psychotherapy. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Jacoby, Scott Michael can be contacted via phone (952) 353-5931.

Contact Information

Primary practice address
2110 Lyndale Ave S Minneapolis MN 55405-3196
Phone: (952) 353-5931
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 5269 Minnesota
Behavioral Health & Social Service Providers / Clinical 103TC0700X 5269 Minnesota
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X 5269 Minnesota

Profile Details

NPI number 1073826913
LBN Legal business name Jacoby, Scott Michael
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2010
Last updated Jul 20th, 2010 - about 15 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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