Mary Casey Jacob in Farmington - Psychologist
Mary Casey Jacob - NPI 1083612246
Mary Casey Jacob is a Psychologist in Farmington, Connecticut. Mary Casey Jacob practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Mary Casey Jacob is 1083612246. The last update date is 2014-02-19.
Mary Casey Jacob's current location address is 263 Farmington Ave, Farmington, Connecticut. You can contact this provider via phone number 8606797503 and fax number 8606791610. The mailing address for Mary Casey Jacob is 263 Farmington Ave, Farmington, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Casey Jacob |
|---|---|
| Address | 263 Farmington Ave, Farmington, Connecticut |
| Phone Number | 8606797503 |
| Fax Number | 8606791610 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1083612246 |
|---|---|
| Provider Enumeration Date | 2005-07-12 |
| Last Updated Date | 2014-02-19 |
Provider Mailing Address Detail
| Address | 263 Farmington Ave |
|---|---|
| City | Farmington |
| State | Connecticut (CT) |
| Post Code | 60302212 |
| Phone Number | 8606797503 |
| Fax Number | 8606791610 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 1621 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1083612246 | CT | -- |
Post Comment/ Review Below
What is the Mary Casey Jacob's unique identification number?
The Mary Casey Jacob has been assigned the NPI (National Provider Identifier) Number 1083612246 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Mary Casey Jacob?
The Mary Casey Jacob is situated at 263 Farmington Ave, in the city of Farmington, state of CT, with the zip code 60302212.
What is Mary Casey Jacob's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mary Casey Jacob is Psychologist, and the corresponding taxonomy classification code for this specialized field is 103T00000X.
On what date did the Mary Casey Jacob receive the assignment of its 1083612246 from the Centers for Medicare & Medicaid Services?
The Mary Casey Jacob was issued its 1083612246 by the Centers for Medicare & Medicaid Services on 2005-07-12.
As of what date was the information regarding Mary Casey Jacob, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mary Casey Jacob, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-02-19.
NPI Number: 1932102142
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