DR. SUSAN JACOB, PHD

Psychologist - Clinical Child & Adolescent

Active Individual
NPI: 1467675819

Practice Address

14 VANDERVENTER AVE
Port Washington, NY 11050

Phone: (516) 944-3786

Specialties

Specialty Code Primary License
Psychologist - Clinical Child & Adolescent 103TC2200X Yes 0077981 (NY)

Frequently Asked Questions

NPI 1467675819 is the National Provider Identifier for DR. SUSAN JACOB, PHD, a Psychologist - Clinical Child & Adolescent provider located in Port Washington, NY. This NPI was enumerated on April 11, 2007.
DR. SUSAN JACOB, PHD practices at 14 VANDERVENTER AVE, Port Washington, NY 11050.

Quick Facts

NPI
1467675819
Type
Individual
Enumerated
Apr 11, 2007
Last Updated
Jul 8, 2007

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