Phillips, Jacob Isaiah

Phillips, Jacob Isaiah is an individual health care provider with primary practice located at 1604 Hilltop West Ctr Ste 216 , Virginia Beach VA 23451-6131. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Phillips, Jacob Isaiah can be contacted via phone (757) 498-9585.

Contact Information

Primary practice address
1604 Hilltop West Ctr Ste 216 Virginia Beach VA 23451-6131
Phone: (757) 498-9585
Fax: (757) 468-1685
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 0810006313 Virginia

Profile Details

NPI number 1922532308
LBN Legal business name Phillips, Jacob Isaiah
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2017
Last updated Feb 18th, 2021 - about 4 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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