CHARLES JASON JACOB

HAVERTOWN, PA
NPI1063600195
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
(Licence: PA  PS017732)
Enumeration Date2007-10-15
Last Update Date2023-06-01
Business Address
DR. CHARLES JASON JACOB PH.D.
33 SYCAMORE RD
HAVERTOWN, PA 19083-4406
Phone number: 412-596-3870
Mailing Address
DR. CHARLES JASON JACOB PH.D.
8200 FLOURTOWN AVE
WYNDMOOR, PA 19038-7976
Phone number: 215-233-3994
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