Beverly Jacobson in Gilroy - Clinical Child & Adolescent
Beverly Jacobson - NPI 1538235759
Beverly Jacobson is a Clinical Child & Adolescent in Gilroy, California. Beverly Jacobson practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Beverly Jacobson is 1538235759. The last update date is 2007-07-08.
Beverly Jacobson's current location address is 290 I O O F Ave, Gilroy, California. You can contact this provider via phone number 4982802611 and fax number 4082802651. The mailing address for Beverly Jacobson is 290 I O O F Ave, Gilroy, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Beverly Jacobson |
|---|---|
| Address | 290 I O O F Ave, Gilroy, California |
| Phone Number | 4982802611 |
| Fax Number | 4082802651 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1538235759 |
|---|---|
| Provider Enumeration Date | 2006-11-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 290 I O O F Ave |
|---|---|
| City | Gilroy |
| State | California (CA) |
| Post Code | 950205204 |
| Phone Number | 4982802611 |
| Fax Number | 4082802651 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | PSY11761 |
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Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Beverly Jacobson?
The Beverly Jacobson has been issued the NPI (National Provider Identifier) 1538235759 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Beverly Jacobson?
The Beverly Jacobson is physically situated at 290 I O O F Ave, in the city of Gilroy, state of CA, with the postal code 950205204.
What is Beverly Jacobson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Beverly Jacobson is Clinical Child & Adolescent, and the taxonomy code that categorizes this field of expertise is 103Tc2200X.
On what date did Beverly Jacobson receive its 1538235759 assignment from the Centers for Medicare & Medicaid Services?
The Beverly Jacobson was assigned its 1538235759 on 2006-11-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Beverly Jacobson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Beverly Jacobson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.