Dr. Scott Michael Jacoby
Clinical Psychologist Group Psychotherapist Cognitive & Behavioral Psychologist
2110 Lyndale Ave S
Minneapolis
, Minnesota 55405-3196
Dr. Scott Michael Jacoby
Clinical Psychologist Group Psychotherapist Cognitive & Behavioral Psychologist
2110 Lyndale Ave S
Minneapolis
, Minnesota 55405-3196
(612) 669-3430
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About
Features
Specialties
- Cognitive & Behavioral Psychologist
- Clinical Psychologist
- Group Psychotherapist
Languages spoken
- English
Location
First Address
- Dr. Scott Michael Jacoby
- 935 Winslow Ave
- West St Paul, MN
- Zip : 55118-1340
- Phone : (612) 669-3430
Second Address
- Dr. Scott Michael Jacoby
- 2110 Lyndale Ave S
- Minneapolis, MN
- Zip : 55405-3196
- Phone : (952) 353-5931
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103TB0200X | Cognitive & Behavioral Psychologist | 5269 | MN |
| Y | 103G00000X | Clinical Psychologist | 5269 | MN |
| Y | 103TC0700X | Clinical Psychologist | 5269 | MN |
| N | 103TP2701X | Group Psychotherapist | 5269 | MN |
National Provider Identifier
| NPI | 1073826913 |
|---|---|
| Provider Name | Dr. Scott Michael Jacoby |
| First Address | West St Paul, MN 55118-1340 |
| Second Address | Minneapolis, MN 55405-3196 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/07/2010 |
| Last Update Date | 20/07/2010 |
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.