Barry Lewis Jacobson, PH.D.

NPI #1124103551 in Longview, Washington

Provider Information

NPI Number: 1124103551
Entity Type: Individual
Name: Barry Lewis Jacobson, PH.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical
Credential: PH.D.
Enumeration Date: Oct 26, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1230 7TH AVE
City: Longview
State: Washington
ZIP Code: 98632-3166
Phone: (360) 575-4801

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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