Mary Casey Jacob, PH.D.

NPI #1083612246 in Farmington, Connecticut

Provider Information

NPI Number: 1083612246
Entity Type: Individual
Name: Mary Casey Jacob, PH.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: PH.D.
Enumeration Date: Jul 12, 2005
Last Updated: Feb 19, 2014

Practice Location

Address: 263 FARMINGTON AVE
City: Farmington
State: Connecticut
ZIP Code: 06030-0001
Phone: (860) 679-4550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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