Individual
DR. EDWARD HAROLD JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
12 PARMENTER RD, LONDONDERRY, NH 03053-3280
(603) 437-2069
(603) 437-5588
Mailing address
12 PARMENTER RD, LONDONDERRY, NH 03053-3280
(603) 437-2069
(603) 437-5588
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
3115
MA
103TC0700X
Clinical Psychologist
Primary
330
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
99001044
—
NH
Enumeration date
07/25/2006
Last updated
07/08/2007
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