Barack, Jacob B

Barack, Jacob B is an individual health care provider with primary practice located at 3551 Roger Brooke Drive Department Of Behavioral Medicine- Mche-Dbm, Fort Sam Houston TX 78234-4504. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Barack, Jacob B can be contacted via phone (210) 539-6150.

Contact Information

Primary practice address
3551 Roger Brooke Drive Department Of Behavioral Medicine- Mche-Dbm Fort Sam Houston TX 78234-4504
Phone: (210) 539-6150
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810007923 Virginia

Profile Details

NPI number 1063028306
LBN Legal business name Barack, Jacob B
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2020
Last updated Mar 2nd, 2023 - about last year

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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