Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACOB BORG, PH.D.
Active Sole ProprietorDR. JACOB BORG, PH.D. is a Psychologist healthcare provider located in PALM COAST, Florida. NPI 1902157761 is currently active in the NPPES registry. Verify at CMS.
Psychologist · PALM COAST, FL
Registration Details
- NPI Number
- 1902157761
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 19, 2012 (13.944182928827 yrs)
- Last Updated
- Aug 10, 2024
- Licenses
-
004633 (NY)PY8488 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4 OFFICE PARK DRPALM COAST, FL, 321373855Browse FL providers · Browse ZIP 32137
- Phone
- 3869867222
- Fax
- 3864012414
- Primary Specialty
-
Psychologist
103T00000X
- Additional Specialty
- Psychologist
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.