Individual
DR. JACOB ALLEN NOTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
11 TRAVIS RD, NATICK, MA 01760-2420
(781) 627-5253
Mailing address
11 TRAVIS RD, NATICK, MA 01760-2420
(339) 206-4507
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
10698
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/27/2017
Last updated
09/27/2022
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