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1063600195
CHARLES JASON JACOB
HAVERTOWN, PA
NPI
1063600195
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: PA PS017732)
Enumeration Date
2007-10-15
Last Update Date
2023-06-01
Business Address
Dr. CHARLES JASON JACOB Ph.D.
33 SYCAMORE RD
HAVERTOWN, PA 19083-4406
Phone number: 412-596-3870
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Mailing Address
Dr. CHARLES JASON JACOB Ph.D.
8200 FLOURTOWN AVE
WYNDMOOR, PA 19038-7976
Phone number: 215-233-3994
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