Deborah M. Jacob, Psy.D., LLC
Psychologist, Clinical in Vineland, NJ. Organization (NPI-2).
NPI number1760660435
StatusActive
Last updated in NPPESFeb 5, 2008
Details
- NPI
- 1760660435
- Entity type
- Organization (NPI-2)
- Legal business name
- Deborah M. Jacob, Psy.D., LLC
- Organization subpart
- No
- Enumeration date
- Feb 5, 2008
- Last updated
- Feb 5, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 35SI00329800 | NJ | Yes |
Practice location
1138 E Chestnut AveBuilding 6 Suite C
Vineland, NJ 08360-5053
Phone 856-691-1511 · Fax 856-696-8517
Mailing address
1138 E Chestnut AveBuilding 6 Suite C
Vineland, NJ 08360-5053
Phone 856-691-1511 · Fax 856-696-8517
Authorized official
Deborah M Jacob
Psychologist
8566911511
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