Individual
BRYCE JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
625 MOUNT AUBURN ST STE 205A, CAMBRIDGE, MA 02138-4530
(617) 259-1895
Mailing address
22456 SE SAWYER RIDGE WAY, BLACK DIAMOND, WA 98010-1311
(253) 347-3767
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
11820
MA
103TC0700X
Clinical Psychologist
Primary
11820
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2019
Last updated
02/26/2026
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