DR. John Russell Jacobson, PH.D.
NPI #1508992173 in East Northport, New York
Provider Information
- NPI Number
- 1508992173
- Entity Type
- Individual
- Name
- DR. John Russell Jacobson, PH.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Local Education Agency (LEA)
- Credential
- PH.D.
- Enumeration Date
- Feb 26, 2007
- Last Updated
- Jul 9, 2007
Practice Location
- Address
- 14 ACORN DR
- City
- East Northport
- State
- New York
- ZIP Code
- 11731-1302
- Phone
- (631) 754-5892
Specialties & Taxonomy Codes
| Specialty |
|---|
| Local Education Agency (LEA) |
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