Individual
DR. PAUL JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1 HORIZON RD, APT. 1423, FORT LEE, NJ 07024-6502
(954) 563-9954
Mailing address
1 HORIZON RD, APT. 1423, FORT LEE, NJ 07024-6502
(954) 563-9954
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
018887
NY
103TC0700X
Clinical Psychologist
35SI00481500
NJ
103TC0700X
Clinical Psychologist
PY5128
FL
Other
Enumeration date
06/09/2008
Last updated
05/31/2012
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