Ellen Rachael Jacobs in La Jolla - Clinical
Ellen Rachael Jacobs - NPI 1598981185
Ellen Rachael Jacobs is a Clinical in La Jolla, California. Ellen Rachael Jacobs practices all healthcare services and medical treatments related to Clinical. The NPI Number for Ellen Rachael Jacobs is 1598981185. The last update date is 2007-07-08.
Ellen Rachael Jacobs's current location address is 7734 Herschel Ave, La Jolla, California. You can contact this provider via phone number 8584596341. The mailing address for Ellen Rachael Jacobs is 7734 Herschel Ave, La Jolla, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ellen Rachael Jacobs |
|---|---|
| Address | 7734 Herschel Ave, La Jolla, California |
| Phone Number | 8584596341 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1598981185 |
|---|---|
| Provider Enumeration Date | 2007-04-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7734 Herschel Ave |
|---|---|
| City | La Jolla |
| State | California (CA) |
| Post Code | 920374433 |
| Phone Number | 8584596341 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY11462 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identifier code issued to Ellen Rachael Jacobs by the Centers for Medicare & Medicaid Services?
The Ellen Rachael Jacobs has been assigned the NPI (National Provider Identifier) 1598981185 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Ellen Rachael Jacobs?
The Ellen Rachael Jacobs is physically situated at 7734 Herschel Ave, in the city of La Jolla, state of CA, with the postal code 920374433.
What is the area of specialization for Ellen Rachael Jacobs, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Ellen Rachael Jacobs is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
On what date did the Ellen Rachael Jacobs receive the assignment of its 1598981185 from the Centers for Medicare & Medicaid Services?
The Ellen Rachael Jacobs was issued its 1598981185 by the Centers for Medicare & Medicaid Services on 2007-04-18.
As of what date was the information regarding Ellen Rachael Jacobs, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Ellen Rachael Jacobs, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.