Individual
DR. JACOB J ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
5600 MONROE ST STE 201A, SYLVANIA, OH 43560-2775
(419) 885-1910
(419) 885-5060
Mailing address
5600 MONROE ST STE 201A, SYLVANIA, OH 43560-2775
(419) 885-1910
(419) 885-5060
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
260
OH
Other
Enumeration date
10/04/2005
Last updated
04/25/2025
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