Individual provider · Type 1 NPI

Susan Vivian Jacob, PhD

Clinical Child & Adolescent Psychologist · Port Washington, NY

NPI number 1467675819 Active

Practice location

14 Vanderventer Ave
Port Washington, NY 11050-3737

Specialties and licenses

TaxonomyCodeLicense
Clinical Child & Adolescent Psychologist Primary 103TC2200X0077981 (NY)

Clinical Child & Adolescent Psychologist: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, …

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About NPI 1467675819

Susan Vivian Jacob, PhD's National Provider Identifier is 1467675819, issued on Apr 11, 2007. The primary taxonomy on file is Clinical Child & Adolescent Psychologist (103TC2200X), and the practice location is in Port Washington, NY. The record was last updated on Jul 8, 2007.