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Contact Information

MONICA I JACOBSON, PHD
810 LINCOLN STREET
KEWAUNEE, WI54216
 Phone: 920-388-7030
 Fax: 920-388-7044
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MONICA I JACOBSON · (Female)

NPI Number 1003917907
Status Active
Credentials PHD
Entity Individual
Enumeration date 09/26/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 1595057
  • WI Medicaid 39089700
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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