Bonnie Jacobs, PHD

NPI #1225169493 in Manorville, New York

Provider Information

NPI Number: 1225169493
Entity Type: Individual
Name: Bonnie Jacobs, PHD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: PHD
Enumeration Date: Mar 8, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 15 EVERGREEN DR
City: Manorville
State: New York
ZIP Code: 11949-3215
Phone: (631) 444-2938

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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