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Contact Information

ABBY JACOBSON, MA, LCDP
63 HARMONY HILL RD
CHEPACHET, RI02814-1429
 Phone: 401-949-0690
 Fax: 401-949-4412
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
 

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for ABBY JACOBSON · (Female)

NPI Number 1962520874
Status Active
Credentials MA, LCDP
Entity Individual
Enumeration date 03/27/2007
Last updated 03/13/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • RI License # CDP00512
  • VT License # 000121
  • VT Other 2033065 CIGNA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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