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Individual
DR. MARK WILLIAM JACOBSON
Active
Individual
DR. MARK WILLIAM JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PSY16985
CA
103TC0700X
Clinical Psychologist
Primary
PSY16985
CA
Other
Enumeration date
08/31/2006
Last updated
09/11/2025
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