Individual
DR. JACOB EDWARD HADDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2038 SARANAC AVE, LAKE PLACID, NY 12946-1177
(518) 588-5173
(845) 205-4454
Mailing address
PO BOX 1202, LAKE PLACID, NY 12946-5202
(518) 588-5173
(845) 205-4454
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
016726-1
NY
103TC0700X
Clinical Psychologist
048.0092013
VT
Other
Enumeration date
08/13/2012
Last updated
09/18/2014
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