Jacob, Charles Jason

Jacob, Charles Jason is an sole proprietor health care provider with primary practice located at 33 Sycamore Rd , Havertown PA 19083-4406. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Jacob, Charles Jason can be contacted via phone (412) 596-3870.

Contact Information

Primary practice address
33 Sycamore Rd Havertown PA 19083-4406
Phone: (412) 596-3870
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS017732 Pennsylvania

Profile Details

NPI number 1063600195
LBN Legal business name Jacob, Charles Jason
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 15th, 2007
Last updated Jun 1st, 2023 - about 2 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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