Barry Lewis Jacobson in Longview - Clinical

Barry Lewis Jacobson - NPI 1124103551

Barry Lewis Jacobson is a Clinical in Longview, Washington. Barry Lewis Jacobson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Barry Lewis Jacobson is 1124103551. The last update date is 2007-07-08.

Barry Lewis Jacobson's current location address is 1230 7th Ave, Longview, Washington. You can contact this provider via phone number 3605754801. The mailing address for Barry Lewis Jacobson is 1230 7th Ave, Longview, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Barry Lewis Jacobson
Address 1230 7th Ave, Longview, Washington
Phone Number 3605754801
Fax Number
Sole Proprietor N
Credentials PH.D.

NPI Number Detail

NPI Number 1124103551
Provider Enumeration Date 2006-10-26
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1230 7th Ave
City Longview
State Washington (WA)
Post Code 986323166
Phone Number 3605754801
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No WA PY0000347
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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FAQs about Barry Lewis Jacobson

What is the Barry Lewis Jacobson's 1124103551?

The Barry Lewis Jacobson's NPI (National Provider Identifier) Number is 1124103551. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Barry Lewis Jacobson is geographically located?

The Barry Lewis Jacobson is physically situated at the following location: 1230 7Th Ave, Longview, WA, 986323166.

What is Barry Lewis Jacobson's specialized field of practice, and what is the corresponding taxonomy classification code?

The Barry Lewis Jacobson's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.

On what date was the 1124103551 assigned to Barry Lewis Jacobson?

The Barry Lewis Jacobson was issued its 1124103551 on 2006-10-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Barry Lewis Jacobson last refreshed?

The information related to the Barry Lewis Jacobson, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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