Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHARLES JASON JACOB, PH.D.
Active Sole ProprietorDR. CHARLES JASON JACOB, PH.D. is a Psychologist healthcare provider located in HAVERTOWN, Pennsylvania. NPI 1063600195 is currently active in the NPPES registry. Verify at CMS.
Psychologist · HAVERTOWN, PA
Registration Details
- NPI Number
- 1063600195
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 15, 2007 (18.810377397771 yrs)
- Last Updated
- Jun 1, 2023
- License
-
PS017732 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
33 SYCAMORE RDHAVERTOWN, PA, 190834406Browse PA providers · Browse ZIP 19083
- Phone
- 4125963870
- Primary Specialty
-
Psychologist
103T00000X
Other Psychologist Providers in HAVERTOWN, PA
| Name | Credential | NPI |
|---|---|---|
| MS. CAROLYN M ROSS | LCSW | 1972690402 |
| MS. KAREN LEMONM | PSYD. | 1164570768 |
| MS. ALLISON MOELLER PISAPIA | — | 1144370735 |
| DR. BRAD EDWARD RICHARDSON | — | 1902956527 |
| DR. ANDREW JAY KIND-RUBIN | — | 1134279714 |
| MS. ROBYN MARTIN | MS | 1881807907 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.