Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SUSAN JACOBSON
Active Sole ProprietorDR. SUSAN JACOBSON is a Child, Clinical Psychologist healthcare provider located in GREAT NECK, New York. NPI 1730316167 is currently active in the NPPES registry. Verify at CMS.
Child, Clinical Psychologist · GREAT NECK, NY
Registration Details
- NPI Number
- 1730316167
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 11, 2009 (17.210519142938 yrs)
- Last Updated
- Jun 11, 2009
- License
-
010031 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
310 E SHORE RDSUITE 301GREAT NECK, NY, 110232410Browse NY providers · Browse ZIP 11023
- Phone
- 5166616666
- Primary Specialty
-
Child, Clinical Psychologist
103TC2200X
Other Child, Clinical Psychologist Providers in GREAT NECK, NY
| Name | Credential | NPI |
|---|---|---|
| DR. ISA L. ELIASOPH | PSY.D. | 1073782322 |
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.