Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Jacob Palm, PHD

Individual provider Clinical Child & Adolescent Psychologist · NPI 1457476061

Mr. Jacob Palm, PHD is a Clinical Child & Adolescent Psychologist in Long Beach, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

3711 Long Beach Blvd Ste 600
Long Beach, CA 90807-3315
Phone: (562) 485-2275
Fax: (562) 981-7569
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Child & Adolescent Psychologist (primary) Taxonomy 103TC2200X · Licence PSY 20665 (CA)

Record details

NPI number1457476061
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedMarch 20, 2007
Last updated in NPPESJuly 8, 2007
Mailing address4335 Atlantic Ave, Long Beach, CA 90807-2803

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