Jacob, Susan M.

Jacob, Susan M. is an sole proprietor health care provider with primary practice located at 1101 Dove St Suite 160, Newport Beach CA 92660-2839. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Jacob, Susan M. can be contacted via phone (949) 851-5022.

Contact Information

Primary practice address
1101 Dove St Suite 160 Newport Beach CA 92660-2839
Phone: (949) 851-5022
Fax: (949) 851-5123
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X MFT25105 California

Profile Details

NPI number 1245246503
LBN Legal business name Jacob, Susan M.
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2006
Last updated Jul 8th, 2007 - about 17 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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