Organization
EDWARD JACOBS, PH.D. & ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD HAROLD JACOBS PH.D. (OWNER)
(603) 437-2069
Entity
Organization
Contact information
Practice address
12 PARMENTER RD, LONDONDERRY, NH 03053-3280
(603) 437-2069
(603) 437-5588
Mailing address
12 PARMENTER RD, LONDONDERRY, NH 03053-3280
(603) 437-2069
(603) 437-5588
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
330
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z24525
BLUE CROSS BLUE SHIELD
MA
Enumeration date
05/18/2007
Last updated
08/22/2020
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