Active NPIIndividual providerSole proprietor

Dr. Edward H Jacobs, PHD

Psychologist, Clinical in Londonderry, New Hampshire

NPI Number1679596126
Practice location
12 Parmenter RD, Londonderry, NH 03053-3280
Fax
603-437-5588
Last updated
July 8, 2007

Edward Harold Jacobs is a Psychologist, Clinical based in Londonderry, NH. Edward Harold Jacobs practices in Londonderry, NH and has the professional credentials of PHD. The NPI Number for Edward Harold Jacobs is 1679596126 and holds a License No. 330 (NH). The current practice location address for Edward Harold Jacobs is 12 Parmenter RD, Londonderry, NH 03053-3280 and can be reached out via phone at 603-437-2069 and via fax at 603-437-5588.

Provider Profile Details

NPI Number
1679596126
Provider Name
Edward Harold Jacobs
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
12 Parmenter RD, Londonderry, NH 03053-3280
Phone Number
603-437-2069
Fax Number
603-437-5588
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
July 25, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
12 Parmenter RD
Londonderry, NH 03053-3280
Zip
03053-3280
Phone Number
603-437-2069
Fax Number
603-437-5588
Londonderry, NH 03053Get directions →

Provider Business Mailing Address Details

Address
12 Parmenter RD
Londonderry, NH 03053-3280
City
Londonderry
State
NH
Zip
03053-3280
Phone Number
603-437-2069
Fax Number
603-437-5588

License Information

License Number (1)
330
License State (1)
NH
Taxonomy (1)
Psychologist, Clinical · 103TC0700X · Primary
License Number (2)
3115
License State (2)
MA
Taxonomy (2)
Psychologist, Clinical · 103TC0700X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Edward H Jacobs, PHD?

The NPI number of Dr. Edward H Jacobs, PHD is 1679596126. It was assigned on July 25, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Edward H Jacobs, PHD?

Dr. Edward H Jacobs, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in NH under license number 330.

Where does Dr. Edward H Jacobs, PHD practice?

The practice location is 12 Parmenter RD, Londonderry, NH 03053-3280. The office can be reached at 603-437-2069 (phone) or 603-437-5588 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1679596126 directly on the NPPES registry website.

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