Individual
DR. PAMELA RAVIN JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
ALBERT EINSTEIN COLLEGE OF MEDICINE-CERC, 1165 MORRIS PARK AVE., BRONX, NY 10461
(718) 430-3900
Mailing address
590 7TH ST, BROOKLYN, NY 11215-3707
(917) 282-5569
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
016825-1
NY
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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