Individual
DR. HOWARD A JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH D
Contact information
Practice address
1025 VERDAE BLVD, SUITE A, GREENVILLE, SC 29607-4032
(864) 546-7315
Mailing address
1025 VERDAE BLVD, SUITE A, GREENVILLE, SC 29607-4032
(864) 546-7315
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1110
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2009378
BCBST
TN
05
—
3682434
—
TN
01
—
4064458
AETNA
TN
Enumeration date
08/10/2006
Last updated
12/22/2009
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