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Mr. Jacob Isaiah Phillips, PSYD
Clinical Neuropsychologist in Virginia Beach, Virginia
NPI 1922532308

Jacob Isaiah Phillips is a Clinical Neuropsychologist based in Virginia Beach, VA. Jacob Isaiah Phillips practices in Virginia Beach, VA and has the professional credentials of PSYD. The NPI Number for Jacob Isaiah Phillips is 1922532308 and holds a License No. (Virginia).

The current practice location address for Jacob Isaiah Phillips is 1604 Hilltop West Ctr Ste 216, Virginia Beach, VA and can be reached out via phone at 757-498-9585 and via fax at 757-468-1685.

Location: 1604 Hilltop West Ctr Ste 216, Virginia Beach, VA, 23451-6131
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922532308
Provider Name
Jacob Isaiah Phillips
Credential
PSYD
Provider Entity Type
Individual
Gender
Male
Address
1604 Hilltop West Ctr Ste 216, Virginia Beach, VA, 23451-6131
Phone Number
757-498-9585
Fax Number
757-468-1685
Provider Enumeration Date
04/12/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1604 Hilltop West Ctr Ste 216
City
Virginia Beach
State
Virginia
Zip
23451-6131
Phone Number
757-498-9585
Fax Number
757-468-1685
person
Provider Business Mailing Address Details
Address
1604 Hilltop West Ctr Ste 216
City
Virginia Beach
State
Virginia
Zip
23451-6131
Phone Number
757-498-9585
Fax Number
757-468-1685
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Clinical Neuropsychologist
Speciality
-
Taxonomy
103G00000X
License No.
0810006313 (Virginia)
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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