Individual
MR. JACOB PALM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3711 LONG BEACH BLVD, SUITE 600, LONG BEACH, CA 90807-3315
(562) 485-2275
(562) 981-7569
Mailing address
4335 ATLANTIC AVE, LONG BEACH, CA 90807-2803
(562) 485-2275
(562) 490-9759
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY 20665
CA
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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