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Dr. Susan Vivian Jacob, PHD
Clinical Child & Adolescent Psychologist in Port Washington, New York
NPI 1467675819

Susan Vivian Jacob is a Clinical Child & Adolescent Psychologist based in Port Washington, NY and is specialized in Clinical Child & Adolescent. Susan Vivian Jacob practices in Port Washington, NY and has the professional credentials of PHD. The NPI Number for Susan Vivian Jacob is 1467675819 and holds a License No. 0077981 (New York).

The current practice location address for Susan Vivian Jacob is 14 Vanderventer Ave, Port Washington, NY and can be reached out via phone at 516-944-3786.

Location: 14 Vanderventer Ave, Port Washington, NY, 11050-3737
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467675819
Provider Name
Susan Vivian Jacob
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
14 Vanderventer Ave, Port Washington, NY, 11050-3737
Phone Number
516-944-3786
Fax Number
Provider Enumeration Date
04/11/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0077981 01 NY LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
14 Vanderventer Ave
City
Port Washington
State
New York
Zip
11050-3737
Phone Number
516-944-3786
Fax Number
person
Provider Business Mailing Address Details
Address
14 Vanderventer Ave
City
Port Washington
State
New York
Zip
11050-3737
Phone Number
516-944-3786
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical Child & Adolescent
Taxonomy
103TC2200X
License No.
0077981 (New York)
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
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