Individual
DR. LAWRENCE DAVID JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
30 E 20TH ST, SUITE 5F, NEW YORK, NY 10003-1310
(212) 533-5316
(212) 533-5316
Mailing address
30 E 20TH ST, SUITE 5F, NEW YORK, NY 10003-1310
(212) 533-5316
(212) 533-5316
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY8947
NY
Other
Enumeration date
07/11/2006
Last updated
12/06/2014
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