Individual
DR. JACOB BORG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4 OFFICE PARK DR, PALM COAST, FL 32137-3855
(386) 986-7222
(386) 401-2414
Mailing address
4 OFFICE PARK DR, PALM COAST, FL 32137-3855
(386) 986-7222
(386) 401-2414
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
004633
NY
103T00000X
Psychologist
Primary
PY8488
FL
Other
Enumeration date
09/19/2012
Last updated
08/10/2024
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