Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TB0200X | Cognitive & Behavioral Psychologist | 35SI00508200 | NJ |
NPI | 1043650112 |
---|---|
Provider Name | Dr. Jayme B Jacobs |
First Address | Cherry Hill, NJ 08542 |
Second Address | Cherry Hill, NJ 08034-1013 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2013 |
Last Update Date | 01/11/2013 |