Daniel Anthony Jacobson in Jbsa Lackland - Clinical Neuropsychologist
Daniel Anthony Jacobson - NPI 1164690756
Daniel Anthony Jacobson is a Clinical Neuropsychologist in Jbsa Lackland, Texas. Daniel Anthony Jacobson practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Daniel Anthony Jacobson is 1164690756. The last update date is 2018-08-08.
Daniel Anthony Jacobson's current location address is 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, Texas. You can contact this provider via phone number 5865884002. The mailing address for Daniel Anthony Jacobson is 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Daniel Anthony Jacobson |
|---|---|
| Address | 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, Texas |
| Phone Number | 5865884002 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1164690756 |
|---|---|
| Provider Enumeration Date | 2008-02-15 |
| Last Updated Date | 2018-08-08 |
Provider Mailing Address Detail
| Address | 1100 Wilford Hall Loop Bldg 4554 |
|---|---|
| City | Jbsa Lackland |
| State | Texas (TX) |
| Post Code | 78236 |
| Phone Number | 5865884002 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | 1794 |
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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 th |
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What is the unique identifier code issued to Daniel Anthony Jacobson by the Centers for Medicare & Medicaid Services?
The Daniel Anthony Jacobson has been assigned the NPI (National Provider Identifier) 1164690756. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Daniel Anthony Jacobson's facilities are situated?
The facilities of Daniel Anthony Jacobson are physically located at the following address: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX, 78236.
What is the area of specialization for Daniel Anthony Jacobson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Daniel Anthony Jacobson is Clinical Neuropsychologist, and the corresponding taxonomy code that categorizes this area of expertise is 103G00000X.
On what date did the Daniel Anthony Jacobson receive its 1164690756 assignment from the Centers for Medicare & Medicaid Services?
The Daniel Anthony Jacobson was assigned its 1164690756 by the Centers for Medicare & Medicaid Services on 2008-02-15.
As of what date were the details related to Daniel Anthony Jacobson most recently updated or revised?
The information pertaining to Daniel Anthony Jacobson, including its address, specialty, and other relevant details, was last updated or revised on 2018-08-08.
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