Amy Marie Jacobs, LMLP LCP

NPI #1154303659 in Wichita, Kansas

Provider Information

NPI Number
1154303659
Entity Type
Individual
Name
Amy Marie Jacobs, LMLP LCP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Psychologist - Cognitive & Behavioral
Credential
LMLP LCP
Enumeration Date
Nov 18, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
9333 EAST 21ST ST., NORTH
State
Kansas
ZIP Code
67206-2927
Phone
(316) 634-4700

Specialties & Taxonomy Codes

Specialty
Psychologist - Cognitive & BehavioralCognitive & Behavioral

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