| Organization Name: | NAOMI T. JACOBS, PH.D., P.A. |
| NPI Number: | 1184996704 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NAOMI JACOBS (PSYCHOLOGIST) |
| Mailing Address: | 100 Executive Way Suite 207 Ponte Vedra Beach |
| State: | FL US |
| Postal Code: | 320822715 |
| Phone Number: | 9046876336 |
| Fax Number: | |
| NPI Enumeration Date: | 01/27/2012 |
| NPI Last Update Date: | 09/17/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |