Active NPIOrganization

Deborah M. Jacob, Psy.d., LLC

Psychologist, Clinical in Vineland, New Jersey

NPI Number1760660435
Practice location
1138 E Chestnut Ave, Building 6 Suite C, Vineland, NJ 08360-5053
Fax
856-696-8517
Last updated
February 5, 2008

Deborah M. Jacob, Psy.d., LLC is a healthcare organization based in Vineland, NJ. Deborah M. Jacob, Psy.d., LLC practices in Vineland, NJ. The NPI Number for Deborah M. Jacob, Psy.d., LLC is 1760660435 and holds a License No. 35SI00329800 (NJ). The current practice location address for Deborah M. Jacob, Psy.d., LLC is 1138 E Chestnut Ave, Building 6 Suite C, Vineland, NJ 08360-5053 and can be reached out via phone at 856-691-1511 and via fax at 856-696-8517.

Provider Profile Details

NPI Number
1760660435
Provider Name
Deborah M. Jacob, Psy.d., LLC
Provider Entity Type
Organization
Address
1138 E Chestnut Ave, Building 6 Suite C, Vineland, NJ 08360-5053
Phone Number
856-691-1511
Fax Number
856-696-8517
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Organization Subpart
No
Authorized Official
Dr. Deborah M Jacob, PSYD · Psychologist · 856-691-1511
Provider Enumeration Date
February 5, 2008
Last Update Date
February 5, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
1138 E Chestnut Ave
Building 6 Suite C
Vineland, NJ 08360-5053
Zip
08360-5053
Phone Number
856-691-1511
Fax Number
856-696-8517
Vineland, NJ 08360Get directions →

Provider Business Mailing Address Details

Address
1138 E Chestnut Ave
Building 6 Suite C
Vineland, NJ 08360-5053
City
Vineland
State
NJ
Zip
08360-5053
Phone Number
856-691-1511
Fax Number
856-696-8517

License Information

License Number
35SI00329800
License State
NJ
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

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 Deborah M. Jacob, Psy.d., LLC?

The NPI number of Deborah M. Jacob, Psy.d., LLC is 1760660435. It was assigned on February 5, 2008 and is currently active in the NPPES registry.

What is the specialty of Deborah M. Jacob, Psy.d., LLC?

Deborah M. Jacob, Psy.d., LLC is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in NJ under license number 35SI00329800.

Where does Deborah M. Jacob, Psy.d., LLC practice?

The practice location is 1138 E Chestnut Ave, Building 6 Suite C, Vineland, NJ 08360-5053. The office can be reached at 856-691-1511 (phone) or 856-696-8517 (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 1760660435 directly on the NPPES registry website.

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