Individual
MR. LEONARD I JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
7000 SW 62 AVE PH-L, SOUTH MIAMI, FL 33143
(305) 667-4724
(305) 667-8599
Mailing address
7000 SW 62 AVE PH-L, SOUTH MIAMI, FL 33143
(305) 667-4724
(305) 667-8599
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY0002309
FL
103TC0700X
Clinical Psychologist
PY0002309
FL
Other
Enumeration date
07/28/2006
Last updated
09/11/2025
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