Jacobson, Mark William

Jacobson, Mark William is an sole proprietor health care provider with primary practice located at 4103 1St Ave , San Diego CA 92103-2024. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Jacobson, Mark William can be contacted via phone (619) 296-8546.

Contact Information

Primary practice address
4103 1St Ave San Diego CA 92103-2024
Phone: (619) 296-8546
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PSY16985 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY16985 California

Profile Details

NPI number 1194837807
LBN Legal business name Jacobson, Mark William
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Jul 8th, 2007 - about 18 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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