Search › North Carolina › 103TC0700X
Mary Jacobsen, PSY.D
NPI 1245435759 · on the registry since 2007 · sole proprietor
Practice
- Address
- 2594 Reynolda Rd
Suite D
Winston Salem, NC 27106 - Phone
- (336) 671-6021
- Organisation at this address
- Turtledove, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Also registered as
- 101YM0800X
103T00000X - Licence states on file
- NC, MN, VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-09-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina