National Provider Identifier Database

MYRNA JACOBSON, PSYCHOLOGIST – NPI #1295774230
Clinical

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth — one that is broadly inclusive of severe psychopathology — and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.


Contact Information

MYRNA JACOBSON, PSYCHOLOGIST
123 WEEMINUCHE
IGNACIO, CO81137
Phone: 970-563-4581
Fax: 970-563-0206
Website:
Specialty Taxonomy Code
* Clinical 103TC0700X

* Indicates primary specialty

NPI Profile & details for MYRNA JACOBSON

NPI Number 1295774230
Credentials PSYCHOLOGIST
Entity Individual
Enumeration date 06/05/2006
Last updated 07/09/2007 - About 19 years ago
Sole proprietor1 Yes
Identifiers
  • CO License #: 2616
  • CO Medicaid: 07043391
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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