Jacobson, Beverly

Jacobson, Beverly is an individual health care provider with primary practice located at 1210 S Bascom Ave , San Jose CA 95128-3543. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Jacobson, Beverly can be contacted via phone (408) 280-2611.

Contact Information

Primary practice address
1210 S Bascom Ave San Jose CA 95128-3543
Phone: (408) 280-2611
Fax: (408) 280-2651
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PSY11761 California

Profile Details

NPI number 1538235759
LBN Legal business name Jacobson, Beverly
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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