Individual
DR. JACOB JOHN MATHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
6920 220TH ST SW, SUITE 106, MOUNTLAKE TERRACE, WA 98043-2177
(425) 640-9777
(425) 640-5122
Mailing address
6920 220TH ST SW, SUITE 106, MOUNTLAKE TERRACE, WA 98043-2177
(425) 640-9777
(425) 640-5122
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY00002289
WA
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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