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Dr. Paul Jacobs, Ph.D.

Psychologist, Clinical in Fort Lee, NJ. Individual provider (NPI-1).

NPI number1619136173
StatusActive
Last updated in NPPESMay 31, 2012

Details

NPI
1619136173
Entity type
Individual (NPI-1)
Name
Dr. Paul Jacobs
Credential
Ph.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 9, 2008
Last updated
May 31, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TC0700X Psychologist, Clinical018887NYYes
103TC0700X Psychologist, ClinicalPY5128FL
103TC0700X Psychologist, Clinical35SI00481500NJ

Practice location

1 Horizon Rd
Apt. 1423
Fort Lee, NJ 07024-6502

Phone 954-563-9954

Mailing address

1 Horizon Rd
Apt. 1423
Fort Lee, NJ 07024-6502

Phone 954-563-9954

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