Individual
DIANE MOIRA JACOBSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3800 RESERVOIR RD NW, HARRISON BUILDING, WASHINGTON, DC 20007-2113
(202) 687-5372
(202) 687-8899
Mailing address
PO BOX 418283, BOSTON, MA 02241-8283
(301) 509-4215
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY1295
DC
Other
Enumeration date
02/19/2010
Last updated
04/11/2013
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