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Contact Information

MYRNA JACOBSON, PSYCHOLOGIST
123 WEEMINUCHE
IGNACIO, CO81137
 Phone: 970-563-4581
 Fax: 970-563-0206
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MYRNA JACOBSON · (Female)

NPI Number 1295774230
Status Active
Credentials PSYCHOLOGIST
Entity Individual
Enumeration date 06/05/2006
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • CO License # 2616
  • CO Medicaid 07043391
Hospital affiliation(s) Not Available
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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