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General NPI Number Information
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NPI Number | 1144139965
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Entity Type | Organization
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Legal Business Name | RYAN J. JACOBY, PHD LLC
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Dates
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Enumeration Date | 09/07/2026
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Last Update Date | 09/07/2026
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Provider Practice Location Address
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Address Line | 185 CAMBRIDGE ST STE 2000
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City | BOSTON
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State | MA
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Zip | 02114-2790
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Country | US
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Telephone | 617-724-4167
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Fax |
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Provider Business Mailing Address
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Address Line | 185 CAMBRIDGE ST STE 2000
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City | BOSTON
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State | MA
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Zip | 02114-2790
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Country | US
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Telephone | 617-724-4167
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. RYAN JANE JACOBY
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Credential | PHD
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Telephone | 617-724-4167
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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