DR. CHARLES JASON JACOB PH.D.
NPI 1063600195
Psychologist in Havertown, PA
About Dr. Charles Jason Jacob Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CHARLES JASON JACOB PH.D. (NPI 1063600195) is an individual psychologist in Havertown, Pennsylvania, licensed in Pennsylvania (PS017732) and active in the NPI registry since October 2007.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Charles Jacob's NPI number?
The NPI number for Charles Jacob is 1063600195. It was assigned to this individual provider in the NPPES registry on October 15, 2007.
Where is Charles Jacob located?
Charles Jacob practices at 33 Sycamore Rd, Havertown, PA 19083. The listed phone number is (412) 596-3870.
What is Charles Jacob's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
When was this NPI record last updated?
The NPPES record for Charles Jacob was last updated on June 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.