Dr. Kelly B Jacobson
Counseling Psychologist
1850 Lee Rd Suite 234
Winter Park
, Florida 32789-2115
Dr. Kelly B Jacobson
Counseling Psychologist
1850 Lee Rd Suite 234
Winter Park
, Florida 32789-2115
(407) 678-0100
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About
Features
Specialties
- Counseling Psychologist
Languages spoken
- English
Location
First Address
- Dr. Kelly B Jacobson
- 1850 Lee Rd Suite 234
- Winter Park, FL
- Zip : 32789-2115
- Phone : (407) 678-0100
Second Address
- Dr. Kelly B Jacobson
- 1850 Lee Rd Suite 234
- Winter Park, FL
- Zip : 32789-2115
- Phone : (407) 678-0100
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TC1900X | Counseling Psychologist | PY 0007292 | FL |
National Provider Identifier
| NPI | 1023231032 |
|---|---|
| Provider Name | Dr. Kelly B Jacobson |
| First Address | Winter Park, FL 32789-2115 |
| Second Address | Winter Park, FL 32789-2115 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/04/2007 |
| Last Update Date | 01/09/2009 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.