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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JACOB JOHN MAHON, PHD; BCBA-D

Active Sole Proprietor

DR. JACOB JOHN MAHON, PHD; BCBA-D is a Clinical Psychologist healthcare provider located in MEDFORD, Oregon. NPI 1912143306 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · MEDFORD, OR

Registration Details

NPI Number
1912143306
Provider Type
Individual
Gender
Male
NPI Issued
Jan 6, 2009 (17.632861224528 yrs)
Last Updated
Aug 16, 2019
Licenses
3067 (OR)
3067 (OR)
Sole Proprietor
Yes

Practice Information

Address
1744 E MCANDREWS RD STE B
MEDFORD, OR, 975045576
Browse OR providers · Browse ZIP 97504
Phone
5416541776
Primary Specialty
Clinical Psychologist
103TC0700X
Additional Specialty
Clinical Psychologist

Other Clinical Psychologist Providers in MEDFORD, OR

Name Credential NPI
DR. MANUEL JOSEPH GOMES PHD 1306829502
SUSANNE FINE PSY.D., RN, CNS 1720062490
JOHN LOUKS PH.D., ABMPP 1477569598
MS. JUDIT NEMETH BOWLING PHD 1417050600
DR. STEVEN HOWELL CARTER PSYD LP 1629164561
RITA DE-HAAN SULLIVAN PH.D 1417034794
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.