Individual
JULIE JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1528 WALNUT ST STE 1203, PHILADELPHIA, PA 19102-3609
(215) 888-0662
Mailing address
1528 WALNUT ST STE 1203, PHILADELPHIA, PA 19102-3609
(215) 888-0662
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS015047
PA
Other
Enumeration date
05/03/2007
Last updated
08/12/2009
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