Provider Demographics
NPI:1922141571
Name:JAKABOVICS, EVELYN HAUSMAN (PHD)
Entity Type:Individual
Prefix:DR
First Name:EVELYN
Middle Name:HAUSMAN
Last Name:JAKABOVICS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 LOCKWOOD AVE
Mailing Address - Street 2:SUITE 403
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-5028
Mailing Address - Country:US
Mailing Address - Phone:914-235-9013
Mailing Address - Fax:914-636-7745
Practice Address - Street 1:110 LOCKWOOD AVE
Practice Address - Street 2:SUITE 403
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-5028
Practice Address - Country:US
Practice Address - Phone:914-235-9013
Practice Address - Fax:914-636-7745
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004732-1103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist