Individual
DR. JAN JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
97 QUIET WOODS RD, EAST HAMPTON, CT 06424
(502) 314-4399
Mailing address
97 QUIET WOODS RD, EAST HAMPTON, CT 06424-1811
(502) 314-4399
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
10121
MA
Other
Enumeration date
05/19/2007
Last updated
06/07/2018
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