Jacobs, Judith Ann

Jacobs, Judith Ann is an individual health care provider with primary practice located at 8400 N University Dr Ste 209 , Tamarac FL 33321. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Jacobs, Judith Ann can be contacted via phone (954) 880-5985.

Contact Information

Primary practice address
8400 N University Dr Ste 209 Tamarac FL 33321
Phone: (954) 880-5985
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MT3489 Florida

Profile Details

NPI number 1154861185
LBN Legal business name Jacobs, Judith Ann
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2017
Last updated Jul 9th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154861185 NPPES
Florida Other IMT2016 RMFTI
Florida Other IMT2106 RMFTI

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