National Provider Identifier

Edith Claire Jacobs, PHD

Edith Claire Jacobs, PHD is listed in the NPPES registry with a primary specialty of Clinical Psychologist in Buffalo, NY and a listed phone number of (716) 886-7304.

NPI 1346469293Buffalo, NYClinical Psychologist

Profile Overview

NPI
1346469293
Provider Type
Individual
Primary Specialty
Clinical Psychologist
Enumeration Date
April 25, 2007
Last Updated
July 08, 2007

Practice Location

  • 406 Linwood Ave
  • Buffalo, NY 14209

Phone: (716) 886-7304

Specialties

  • Clinical Psychologist (103TC0700X)
Full Record
NPI
1346469293
Entity Type
Individual
Last Name
Jacobs
First Name
Edith
Middle Name
Claire
Name Prefix
Dr.
Credential
PHD
Mailing Street Address
406 Linwood Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14209
Mailing Country
US
Mailing Phone
(716) 886-7304
Mailing Fax
(716) 886-7398
Practice Street Address
406 Linwood Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14209
Practice Country
US
Practice Phone
(716) 886-7304
Practice Fax
(716) 886-7398
Enumeration Date
April 25, 2007
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Psychologist (103TC0700X)
Other Identifiers
02103753 (NY)