Provider Demographics
NPI:1922135185
Name:JACOBS, JENIFER RIGELHAUPT (PHD)
Entity Type:Individual
Prefix:DR
First Name:JENIFER
Middle Name:RIGELHAUPT
Last Name:JACOBS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13405 FOLSOM BLVD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-4737
Mailing Address - Country:US
Mailing Address - Phone:916-357-5027
Mailing Address - Fax:916-357-5964
Practice Address - Street 1:13405 FOLSOM BLVD
Practice Address - Street 2:SUITE 220
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-4737
Practice Address - Country:US
Practice Address - Phone:916-357-5027
Practice Address - Fax:916-357-5964
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 17687103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical