Individual
LISA MARION JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
55 WOODLAND AVE, SUMMIT, NJ 07901-2112
(908) 598-0870
(908) 522-6668
Mailing address
55 WOODLAND AVE, SUMMIT, NJ 07901-2112
(908) 598-0870
(908) 522-6668
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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