Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY CASEY JACOB, PH.D.
ActiveMARY CASEY JACOB, PH.D. is a Psychologist healthcare provider located in FARMINGTON, Connecticut. NPI 1083612246 is currently active in the NPPES registry. Verify at CMS.
Psychologist · FARMINGTON, CT
Registration Details
- NPI Number
- 1083612246
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 12, 2005 (21.082593511123 yrs)
- Last Updated
- Feb 19, 2014
- License
-
001621 (CT)
Practice Information
- Address
-
263 FARMINGTON AVEFARMINGTON, CT, 060300001Browse CT providers · Browse ZIP 06030
- Phone
- 8606794550
- Fax
- 8606791845
- Primary Specialty
-
Psychologist
103T00000X
Other Psychologist Providers in FARMINGTON, CT
| Name | Credential | NPI |
|---|---|---|
| JULIAN FORD | PHD | 1083612477 |
| RONALD KADDEN | PHD | 1780682633 |
| ELISE KABELA-CORMIER | PHD | 1225036171 |
| HOWARD TENNEN | PHD | 1225036254 |
| DAVID SHACK | — | 1811942402 |
| DR. AARON SARDELL | PSYD | 1952461477 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.