James Leland Jacobs in Vassalboro - Clinical Child & Adolescent
James Leland Jacobs - NPI 1588713978
James Leland Jacobs is a Clinical Child & Adolescent in Vassalboro, Maine. James Leland Jacobs practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for James Leland Jacobs is 1588713978. The last update date is 2022-07-17.
James Leland Jacobs's current location address is 123 Mudget Hill Rd, Vassalboro, Maine. You can contact this provider via phone number 2074454756. The mailing address for James Leland Jacobs is 123 Mudget Hill Rd, Vassalboro, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James Leland Jacobs |
|---|---|
| Address | 123 Mudget Hill Rd, Vassalboro, Maine |
| Phone Number | 2074454756 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1588713978 |
|---|---|
| Provider Enumeration Date | 2007-01-09 |
| Last Updated Date | 2022-07-17 |
Provider Mailing Address Detail
| Address | 123 Mudget Hill Rd |
|---|---|
| City | Vassalboro |
| State | Maine (ME) |
| Post Code | 49894305 |
| Phone Number | 2074454756 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | PS600 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 143490000 | ME | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to James Leland Jacobs by the Centers for Medicare & Medicaid Services?
The James Leland Jacobs has been issued the NPI (National Provider Identifier) 1588713978 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the James Leland Jacobs located?
The James Leland Jacobs is located at 123 Mudget Hill Rd, Vassalboro, ME 49894305.
What is the James Leland Jacobs's specialty and taxonomy code?
The James Leland Jacobs's specialty is Clinical Child & Adolescent, and the corresponding taxonomy code is 103Tc2200X.
When did the James Leland Jacobs receive its 1588713978?
The James Leland Jacobs was issued its 1588713978 on 2007-01-09, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to James Leland Jacobs most recently updated or revised?
The information pertaining to James Leland Jacobs, including its address, specialty, and other relevant details, was last updated or revised on 2022-07-17.
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