| NPI | 1760660435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH M JACOB Psychologist 856-691-1511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00329800) |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2008-02-05 |