Martha Candace Jacobson in Hollywood - Clinical
Martha Candace Jacobson - NPI 1912039298
Martha Candace Jacobson is a Clinical in Hollywood, Florida. Martha Candace Jacobson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Martha Candace Jacobson is 1912039298. The last update date is 2007-07-08.
Martha Candace Jacobson's current location address is 3900 Hollywood Blvd, Hollywood, Florida. You can contact this provider via phone number 9549878812 and fax number 9549872615. The mailing address for Martha Candace Jacobson is 3900 Hollywood Blvd, Hollywood, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Martha Candace Jacobson |
|---|---|
| Address | 3900 Hollywood Blvd, Hollywood, Florida |
| Phone Number | 9549878812 |
| Fax Number | 9549872615 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1912039298 |
|---|---|
| Provider Enumeration Date | 2007-03-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3900 Hollywood Blvd |
|---|---|
| City | Hollywood |
| State | Florida (FL) |
| Post Code | 330216760 |
| Phone Number | 9549878812 |
| Fax Number | 9549872615 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PY0004227 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 73505 | FL | BL CROSS BL SHIELD NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to Martha Candace Jacobson by the Centers for Medicare & Medicaid Services (CMS)?
The Martha Candace Jacobson has been assigned the NPI (National Provider Identifier) 1912039298. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Martha Candace Jacobson?
The Martha Candace Jacobson is situated at 3900 Hollywood Blvd, in the city of Hollywood, state of FL, with the zip code 330216760.
What is Martha Candace Jacobson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Martha Candace Jacobson is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1912039298 to Martha Candace Jacobson?
The Martha Candace Jacobson received its 1912039298 assignment from the Centers for Medicare & Medicaid Services on 2007-03-12.
When was the information regarding Martha Candace Jacobson most recently updated?
The details pertaining to the Martha Candace Jacobson, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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