Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TANYA JACOB, PHD
Active Sole ProprietorDR. TANYA JACOB, PHD is a Psychologist healthcare provider located in PACIFIC PALISADES, California. NPI 1386875086 is currently active in the NPPES registry. Verify at CMS.
Psychologist · PACIFIC PALISADES, CA
Registration Details
- NPI Number
- 1386875086
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 30, 2009 (17.02497631976 yrs)
- Last Updated
- Mar 17, 2018
- License
-
PSY23304 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
860 VIA DE LA PAZ STE E3EPACIFIC PALISADES, CA, 902723657Browse CA providers · Browse ZIP 90272
- Phone
- 3104224132
- Primary Specialty
-
Psychologist
103T00000X
Other Psychologist Providers in PACIFIC PALISADES, CA
| Name | Credential | NPI |
|---|---|---|
| DR. SANDRA ROBBIN KALER | PH.D., R.N. | 1265649099 |
| DR. MARY ELIZABETH HORAN | PH.D. | 1144470311 |
| DR. ROOZAN VARTERESSIAN | PH.D., LCSW | 1619109709 |
| DR. TRACY G MARSH | PH.D. | 1568218220 |
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.