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DR. JAN JACOBSON PH.D.

Clinical >> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1255549457

Individual Registrant:
DR. JAN  JACOBSON PH.D.
Gender: F
Sole Proprietor

Location and contact information for practice:
97 QUIET WOODS RD  EAST HAMPTON, CT 06424 US
Tel: 502-314-4399  Fax: --

Contact information for business:
97 QUIET WOODS RD  EAST HAMPTON, CT 06424-1811 US
Tel: 502-314-4399  Fax: --

Registration Information:
NPI: 1255549457
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103TC0700XBehavioral Health & Social Service Providers
Psychologist
Clinical
MA10121

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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