Lisa Marion Jacobs, PHD
NPI #1104958305 in Summit, New Jersey
Provider Information
- NPI Number
- 1104958305
- Entity Type
- Individual
- Name
- Lisa Marion Jacobs, PHD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist
- Credential
- PHD
- Enumeration Date
- Mar 12, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 55 WOODLAND AVE
- City
- Summit
- State
- New Jersey
- ZIP Code
- 07901-2112
- Phone
- (908) 598-0870
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist |
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