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Contact Information

JULIE A JACOBS, PhD
519 MIDLAND CT
SUITE #102
JANESVILLE, WI53546-2336
 Phone: 608-756-9090
 Fax: 608-756-2920
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JULIE A JACOBS · (Female)

NPI Number 1386671485
Status Active
Credentials PhD
Entity Individual
Enumeration date 06/26/2006
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 882-057
  • WI Medicaid 39046200
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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