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General NPI Number Information
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NPI Number | 1265573729
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Entity Type | Organization
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Legal Business Name | SHERYL R. JACOBS, PH.D., P.C.
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Dates
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Enumeration Date | 02/09/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 6 RESERVOIR CIR STE 201
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City | BALTIMORE
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State | MD
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Zip | 21208-7300
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Country | US
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Telephone | 410-580-9045
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Fax | 410-580-9046
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Provider Business Mailing Address
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Address Line | 6 RESERVOIR CIR STE 201
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City | BALTIMORE
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State | MD
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Zip | 21208-7300
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Country | US
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Telephone | 410-580-9045
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Fax | 410-580-9046
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. SHERYL R JACOBS
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Credential |
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Telephone | 410-580-9045
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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 | 2899
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 2899
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 2899
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License Number State | MD
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