Individual provider · Type 1 NPI
Mary E. Jacobsen, PSY.D.
Clinical Psychologist · Winston Salem, NC
Practice location
2594 Reynolda Rd, Suite D
Winston Salem, NC 27106-4601
Mailing address
4220 Redwing Cir
Winston Salem, NC 27106-4273
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | 5110 (NC) |
| Psychologist | 103T00000X | MN3087 (MN) |
| Clinical Psychologist Primary | 103TC0700X | 0810003296 (VA) |
Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…
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About NPI 1245435759
Mary E. Jacobsen, PSY.D.'s National Provider Identifier is 1245435759, issued on Jun 15, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Winston Salem, NC. The record was last updated on Sep 11, 2025.