Individual provider · Type 1 NPI

Mary Casey Jacob, PhD

Psychologist · Farmington, CT

NPI number 1083612246 Active

Practice location

263 Farmington Ave
Farmington, CT 06030-0001

Call (860) 679-4550 Map

Fax (860) 679-1845

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X001621 (CT)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1083612246

Mary Casey Jacob, PhD's National Provider Identifier is 1083612246, issued on Jul 12, 2005. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Farmington, CT. The record was last updated on Feb 19, 2014.