Individual
DR. JAMES LELAND JACOBS
Active
Individual
DR. JAMES LELAND JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS600
ME
103TA0400X
Addiction (Substance Use Disorder) Psychologist
PS600
ME
103TC0700X
Clinical Psychologist
Primary
PS600
ME
103TC2200X
Clinical Child & Adolescent Psychologist
PS600
ME
103TF0200X
Forensic Psychologist
PS600
ME
103TR0400X
Rehabilitation Psychologist
PS600
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143490000
—
ME
Enumeration date
01/09/2007
Last updated
07/17/2022
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