Lisa Marion Jacobs in Summit - Psychologist
Lisa Marion Jacobs - NPI 1104958305
Lisa Marion Jacobs is a Psychologist in Summit, New Jersey. Lisa Marion Jacobs practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Lisa Marion Jacobs is 1104958305. The last update date is 2007-07-08.
Lisa Marion Jacobs's current location address is 55 Woodland Ave, Summit, New Jersey. You can contact this provider via phone number 9085980870 and fax number 9085226668. The mailing address for Lisa Marion Jacobs is 55 Woodland Ave, Summit, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Marion Jacobs |
|---|---|
| Address | 55 Woodland Ave, Summit, New Jersey |
| Phone Number | 9085980870 |
| Fax Number | 9085226668 |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1104958305 |
|---|---|
| Provider Enumeration Date | 2007-03-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 55 Woodland Ave |
|---|---|
| City | Summit |
| State | New Jersey (NJ) |
| Post Code | 79012112 |
| Phone Number | 9085980870 |
| Fax Number | 9085226668 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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What is the unique 10-digit identification code issued to Lisa Marion Jacobs by the Centers for Medicare & Medicaid Services?
The Lisa Marion Jacobs has been assigned the NPI (National Provider Identifier) 1104958305 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Lisa Marion Jacobs?
The Lisa Marion Jacobs is situated at 55 Woodland Ave, in the city of Summit, state of NJ, with the zip code 79012112.
What is Lisa Marion Jacobs's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Lisa Marion Jacobs is Psychologist, and the corresponding taxonomy classification code for this specialized field is 103T00000X.
On what date did the Lisa Marion Jacobs receive the assignment of its 1104958305 from the Centers for Medicare & Medicaid Services?
The Lisa Marion Jacobs was issued its 1104958305 by the Centers for Medicare & Medicaid Services on 2007-03-12.
As of what date were the details related to Lisa Marion Jacobs most recently updated or revised?
The information pertaining to Lisa Marion Jacobs, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.