# STANLEY S. JACOBS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104374248
- **Authorized official:** DR. STANLEY S. JACOBS PH.D. (OWNER)
- **Authorized official phone:** (215) 499-4968

## Contact information

- **Practice address:** 2619 TRENTON RD, \#40, LEVITTOWN, PA 19056-1428
- **Practice address phone:** (215) 499-4968
- **Mailing address:** 2619 TRENTON RD, \#40, LEVITTOWN, PA 19056-1428
- **Mailing address phone:** (215) 499-4968

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | PS002284L | PA | Yes |

## Other

- **Enumeration date:** 09/19/2016
- **Last updated:** 09/21/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | PS002284L | STATE OF PA PSYCHOLOGIST'S LICENSE | PA |