| Doctor Name: | CYNTHIA LANZA JACOBSON |
| NPI Number: | 1013256924 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW |
| License Number: | 3333 |
| Business Practice Address: | 3100 Ridgelake Dr Suite 110 Metairie, LA - 700024964 |
| Business Phone Number: | 5048355503 |
| Business Fax Number: | |
| Mailing Address: | Po Box 9219, METAIRIE |
| State: | LA |
| Postal Code: | 700559219 |
| Phone Number: | 5048355503 |
| Fax Number: | |
| NPI Enumeration Date: | 02/13/2013 |
| NPI Last Update Date: | 02/13/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 3333 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | LA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |