| NPI | 1194135194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN STEVEN JACOBSON Clinical Psychologist 212-254-1618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 016535) |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2014-04-30 |