Jan Jacobson is a Clinical in East Hampton, Connecticut. Jan Jacobson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jan Jacobson is 1255549457. The last update date is 2018-06-07.
Jan Jacobson's current location address is 97 Quiet Woods Rd, East Hampton, Connecticut. You can contact this provider via phone number 5023144399. The mailing address for Jan Jacobson is 97 Quiet Woods Rd, East Hampton, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jan Jacobson |
|---|---|
| Address | 97 Quiet Woods Rd, East Hampton, Connecticut |
| Phone Number | 5023144399 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1255549457 |
|---|---|
| Provider Enumeration Date | 2007-05-19 |
| Last Updated Date | 2018-06-07 |
Provider Mailing Address Detail
| Address | 97 Quiet Woods Rd |
|---|---|
| City | East Hampton |
| State | Connecticut (CT) |
| Post Code | 64241811 |
| Phone Number | 5023144399 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 10121 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique identifier code issued to Jan Jacobson by the Centers for Medicare & Medicaid Services?
The Jan Jacobson has been assigned the NPI (National Provider Identifier) 1255549457. 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 provide the complete street address where Jan Jacobson is physically located?
The Jan Jacobson is physically situated at the following address: 97 Quiet Woods Rd, East Hampton, CT, 64241811.
What is the Jan Jacobson's area of specialization and corresponding taxonomy classification?
The Jan Jacobson's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1255549457 to Jan Jacobson?
The Jan Jacobson received its 1255549457 assignment from the Centers for Medicare & Medicaid Services on 2007-05-19.
When was the Jan Jacobson's information last updated?
The Jan Jacobson's information was last updated on 2018-06-07.
NPI Number: 1942207287
Address: N160 State Route 108, Napoleon, OH