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DR. WENDY LYNN JACOBS PHD

Clinical Neuropsychologist

Sarasota, Florida

Provider NPI: 1174633242

Provider Information:
DR. WENDY LYNN JACOBS PHD
Gender: F
Sole Proprietor


Practice Location:
2650 BAHIA VISTA ST STE 201  SARASOTA, FL 34239 US
Tel: 941-402-7520  Fax: --

Business Mailing Address:
PO BOX 17263  SARASOTA, FL 34276 US
Tel: 941-402-7520  Fax: --

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103T00000XBehavioral Health & Social Service Providers
Psychologist
FLPY6367

Other Provider Identifiers:

IssuerNumberStateType
BEECHSTREET135354701
MANAGED HEALTH NETWORK27568801
UBH01-069874001
CIGNA206838801
CORPHEALTH01-069874001
AETNA/MAGELLUM276480-00001
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS FL - Page 1

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