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Contact Information

JACOB A EIDE, PSY.D.
85 SIERRA PARK RD
MAMMOTH LAKES, CA93546
 Phone: 760-924-4333
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JACOB A EIDE · (Male)

NPI Number 1760701023
Status Active
Credentials PSY.D. (Doctor of Psychology)
Entity Individual
Enumeration date 05/26/2010
Last updated 01/27/2026 - About 4 months ago
Sole proprietor 1 No
Identifiers
  • CA License # PSY27059
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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