Individual
RONALD STEWART JACOBSON
Active
Individual
RONALD STEWART JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810000305
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00704143
—
VA
01
—
257774
ANTHEM BCBS
VA
01
—
O83564
SENTARA/OPTIMA HEALTH CAR
VA
Enumeration date
05/19/2006
Last updated
07/13/2026
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