Individual
DR. STUART L JACOBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EDD
Contact information
Practice address
93 POND STREET, SHARON, MA 02067-1626
(781) 724-7468
(781) 784-7671
Mailing address
234 WALPOLE STREET, SHARON, MA 02067-1626
(781) 724-7468
(781) 784-7671
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
7279
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W05780
BCBS
MA
Enumeration date
01/11/2007
Last updated
07/08/2007
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