Individual
DANA JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15821 VENTURA BLVD STE 685, ENCINO, CA 91436-4796
(818) 208-9874
Mailing address
15821 VENTURA BLVD STE 685, ENCINO, CA 91436-4796
(818) 208-9874
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
LEP3566
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
DO NOT HAVE
—
Enumeration date
01/03/2022
Last updated
02/06/2026
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