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Contact Information

ANDREW A JACOBS, PHD
800 W 47TH ST
STE 514
KANSAS CITY, MO64112-1251
 Phone: 816-561-5556
 Fax: 816-756-3151
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Exercise & Sports

103TE1100X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for ANDREW A JACOBS · (Male)

NPI Number 1073506226
Status Active
Credentials PHD
Entity Individual
Enumeration date 08/23/2005
Last updated 12/21/2010 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • MO License # R0244
  • MO Other 16045018 BCBS
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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