Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. LAUREN BETTY JACOB, MA, TLLP
Active Sole ProprietorMRS. LAUREN BETTY JACOB, MA, TLLP is a Clinical Psychologist healthcare provider located in BERKLEY, Michigan. NPI 1518300847 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · BERKLEY, MI
Registration Details
- NPI Number
- 1518300847
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 17, 2013 (13.299813274132 yrs)
- Last Updated
- Jun 1, 2016
- Licenses
-
L2310588 (MI)6301015300 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2351 W. 12 MILE RD.BERKLEY, MI, 480721826Browse MI providers · Browse ZIP 48072
- Phone
- 2485444004
- Fax
- 2485444113
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Clinical Psychologist
Other Clinical Psychologist Providers in BERKLEY, MI
| Name | Credential | NPI |
|---|---|---|
| DR. RUTH ANAN | PH.D. | 1255329124 |
| MS. MADELYN PALMIERI | MA,,LLP | 1487685327 |
| DR. MELISSA MARIE SULFARO | PSY.D | 1154498103 |
| CHERYL LYNN PODOLSKI | PHD | 1932384492 |
| CARIANNE TAYLOR MCCALDEN | M.A. | 1174827950 |
| MRS. SHANNON CONZ | M.A., L.L.P. | 1710248034 |
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.