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

Jacob Theodore Squicciarini, MS, LCGC

Individual provider Genetic Counselor (M.S.) · NPI 1447057328

Jacob Theodore Squicciarini, MS, LCGC is registered under Genetic Counselor (M.S.) in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2025.

Licensed in
PA
In the registry since
2025
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Phone: (267) 426-7418
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Genetic Counselor (M.S.) (primary) Taxonomy 170300000X · Licence GC000838 (PA)

Record details

NPI number1447057328
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , LCGC
Sole proprietorNo
NPI enumeratedFebruary 27, 2025
Last updated in NPPESFebruary 27, 2025
Certification dateFebruary 27, 2025

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