Individual
ERIC JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3905 FORD RD, PHILADELPHIA, PA 19131-2824
(215) 643-5400
Mailing address
222 STONEWAY LN, MERION STATION, PA 19066-1820
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
PS015808
PA
103TC2200X
Clinical Child & Adolescent Psychologist
PS015808
PA
Other
Enumeration date
02/13/2007
Last updated
09/11/2025
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