DR. Charles Jason Jacob, PH.D.
NPI #1063600195 in Havertown, Pennsylvania
Provider Information
- NPI Number
- 1063600195
- Entity Type
- Individual
- Name
- DR. Charles Jason Jacob, PH.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist
- Credential
- PH.D.
- Enumeration Date
- Oct 15, 2007
- Last Updated
- Jun 1, 2023
Practice Location
- Address
- 33 SYCAMORE RD
- City
- Havertown
- State
- Pennsylvania
- ZIP Code
- 19083-4406
- Phone
- (412) 596-3870
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist |
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