K.A. JACOBSON PH.D. PLLC NPI 1154363414

NPI Information

K.A. JACOBSON, PH.D., PLLC is a mental health (including community mental health center) clinic center in Golden Valley, MN. K.A. JACOBSON, PH.D., PLLC NPI is 1154363414. The provider is registered as an organization entity type.

The provider's business location address is:

5101 OLSON MEMORIAL HWY
SUITE 4003
GOLDEN VALLEY, MN
ZIP 55422-149
Phone: (763) 595-7294
Fax: (763) 595-7293

The provider's authorized official is Kathleen A. Jacobson .
The authorized official title is Clinical Psychologist and has the following contact phone number (763) 595-7294.

The enumeration date for this NPI number is 6/12/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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