Jacobson, Martha Candace

Jacobson, Martha Candace is an sole proprietor health care provider with primary practice located at 3900 Hollywood Blvd Suite 301, Hollywood FL 33021-6760. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jacobson, Martha Candace can be contacted via phone (954) 987-8812.

Contact Information

Primary practice address
3900 Hollywood Blvd Suite 301 Hollywood FL 33021-6760
Fax: (954) 987-2615
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY0004227 Florida

Profile Details

NPI number 1912039298
LBN Legal business name Jacobson, Martha Candace
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 12th, 2007
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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Identifiers

StateTypeNumberIssuer
All States NPI 1912039298 NPPES
Florida Other 73505 BL CROSS BL SHIELD NUMBER

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