Heather A Jacoby (NPI# 1174925358, PAC ID# 9234351412) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1174925358 |
| PAC ID by PECOS | 9234351412 |
| Professional Enrollment ID | I20141104002006 |
| Full Name | Heather A Jacoby |
| Organization Legal Name | MOORE PSYCHOLOGICAL SERVICES LLC |
| Address |
175 E Chester Pike Taylor Hospital Ridley Park PA 19078-2212 |
| Phone Number | 6105956000 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 0648415646 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 175 E Chester Pike, Taylor Hospital, Ridley Park, PA 19078-2212 | 6105956000 | MOORE PSYCHOLOGICAL SERVICES LLC |
| Organization Legal Name | MOORE PSYCHOLOGICAL SERVICES LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deirdre A Razzi | Clinical Social Worker | Moore Psychological Services LLC | 175 E Chester Pike, Taylor Hospital, Ridley Park, PA 19078-2212 |
| Rosanne P Walsh | Psychologist, Clinical | Moore Psychological Services LLC | 100 W Sproul Rd, Suite 121, Springfield, PA 19064-2033 |
| Megan M Moore | Psychologist, Clinical | Moore Psychological Services LLC | 175 E Chester Pike, Taylor Hospital, Ridley Park, PA 19078-2212 |
| Street Address |
175 E CHESTER PIKE TAYLOR HOSPITAL |
| City | RIDLEY PARK |
| State | PA |
| Zip | 19078-2212 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deirdre A Razzi | Clinical Social Worker | Moore Psychological Services LLC | 175 E Chester Pike, Taylor Hospital, Ridley Park, PA 19078-2212 |
| Adam S Hennessey | Emergency Medicine | Emergency Care Services of Pennsylvania PC | 175 E Chester Pike, Ridley Park, PA 19078-2212 |
| Megan M Moore | Psychologist, Clinical | Moore Psychological Services LLC | 175 E Chester Pike, Taylor Hospital, Ridley Park, PA 19078-2212 |
| David Y Morley | Emergency Medicine | Cep America LLC | 175 E Chester Pike, Ridley Park, PA 19078-2212 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Martin J Bergman | Rheumatology | 23 W Chester Pike, Suite 201, Ridley Park, PA 19078-1629 | |
| Robert Alexander Rhodes | Dermatology | 23 W Chester Pike, Suite 200, Ridley Park, PA 19078-1629 | |
| Emily D Rose | Podiatry | Dr. Lee S Cohen Associates | 642 E Chester Pike, Ridley Park, PA 19078-1701 |
| Loretta F Brown | Addiction Medicine | 648 A E Chester Pike, Ridley Park, PA 19078-1701 | |
| Cory R Hawley | Podiatry | Dr. Lee S Cohen Associates | 642 E Chester Pike, Ridley Park, PA 19078-1701 |
| Lee S Cohen | Podiatry | Dr. Lee S Cohen Associates | 642 E Chester Pike, Ridley Park, PA 19078-1701 |
| Ronald B Phillips | Internal Medicine | 648 A E Chester Pike, Ridley Park, PA 19078-1701 | |
| Marc S Persson | Chiropractic | Perssonal Health Chiropractic LLC | 100 E Chester Pike, Ridley Park, PA 19078-1703 |
| Emily A Swonguer | Chiropractic | Perssonal Health Chiropractic LLC | 100 E Chester Pike, Ridley Park, PA 19078-1703 |
| David R Kalodner | Family Medicine | Internists Associates | 100 E Chester Pike, Ridley Park, PA 19078-1703 |
| Find all physicians in zip 19078 | |||
| City | RIDLEY PARK |
| Zip Code | 19078 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | RIDLEY PARK + CLINICAL SOCIAL WORKER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.