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Organization
JACOBS PSYCHOLOGICAL SERVICES, PC
Active
Organization
JACOBS PSYCHOLOGICAL SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH D JACOBS PHD (CLINICAL DIRECTOR)
(818) 571-2285
Entity
Organization
Contact information
Practice address
12304 SANTA MONICA BLVD # 315, LOS ANGELES, CA 90025-2551
(818) 571-2285
(323) 272-4076
Mailing address
16350 VENTURA BLVD # D147, ENCINO, CA 91436-5300
(818) 571-2285
(323) 272-4076
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
03/07/2023
Last updated
03/26/2023
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