Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHAWNA JACOB, PHD
ActiveSHAWNA JACOB, PHD is a Clinical Neuropsychologist healthcare provider located in FAIRFIELD, Ohio. NPI 1104485929 is currently active in the NPPES registry. Verify at CMS.
Clinical Neuropsychologist · FAIRFIELD, OH
Registration Details
- NPI Number
- 1104485929
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 6, 2019 (7.233355112618 yrs)
- Last Updated
- Jul 29, 2025
- License
-
P.07800 (OH)
Practice Information
- Address
-
2812 MACK RDFAIRFIELD, OH, 450145130Browse OH providers · Browse ZIP 45014
- Phone
- 5138135327
- Primary Specialty
-
Clinical Neuropsychologist
103G00000X
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.