George R Jacobson in Milwaukee - Psychologist

George R Jacobson - NPI 1811948656

George R Jacobson is a Psychologist in Milwaukee, Wisconsin. George R Jacobson practices all healthcare services and medical treatments related to Psychologist. The NPI Number for George R Jacobson is 1811948656. The last update date is 2013-02-07.

George R Jacobson's current location address is 1155 N Mayfair Rd, Milwaukee, Wisconsin. You can contact this provider via phone number 4149558900 and fax number 4149556285. The mailing address for George R Jacobson is 1155 N Mayfair Rd, Milwaukee, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name George R Jacobson
Address 1155 N Mayfair Rd, Milwaukee, Wisconsin
Phone Number 4149558900
Fax Number 4149556285
Sole Proprietor N
Credentials PHD

NPI Number Detail

NPI Number 1811948656
Provider Enumeration Date 2006-05-15
Last Updated Date 2013-02-07

Provider Mailing Address Detail

Address 1155 N Mayfair Rd
City Milwaukee
State Wisconsin (WI)
Post Code 532263462
Phone Number 4149558900
Fax Number 4149556285

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No 482
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1811948656 WI --

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FAQs about George R Jacobson

What is the George R Jacobson's unique identification number?

The George R Jacobson has been assigned the NPI (National Provider Identifier) Number 1811948656 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of George R Jacobson?

The George R Jacobson is situated at 1155 N Mayfair Rd, in the city of Milwaukee, state of WI, with the zip code 532263462.

What is the George R Jacobson's area of specialization and corresponding taxonomy classification?

The George R Jacobson's specialty field is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their specialties.

On what date did the George R Jacobson receive the assignment of its 1811948656 from the Centers for Medicare & Medicaid Services?

The George R Jacobson was issued its 1811948656 by the Centers for Medicare & Medicaid Services on 2006-05-15.

As of what date were the details related to George R Jacobson most recently updated or revised?

The information pertaining to George R Jacobson, including its address, specialty, and other relevant details, was last updated or revised on 2013-02-07.

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