Organization
PSYCHOLOGY ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTHA CANDACE JACOBSON PH.D. (PRESIDENT)
(954) 987-8812
Entity
Organization
Contact information
Practice address
3900 HOLLYWOOD BLVD, SUITE 301, HOLLYWOOD, FL 33021-6760
(954) 987-8812
(954) 987-2615
Mailing address
3900 HOLLYWOOD BLVD, SUITE 301, HOLLYWOOD, FL 33021-6760
(954) 987-8812
(954) 987-2615
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
04/22/2008
Last updated
07/14/2008
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