Lisa Ann Jackson in Williamsville - Clinical Neuropsychologist
Lisa Ann Jackson - NPI 1316071749
Lisa Ann Jackson is a Clinical Neuropsychologist in Williamsville, New York. Lisa Ann Jackson practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Lisa Ann Jackson is 1316071749. The last update date is 2007-07-08.
Lisa Ann Jackson's current location address is 332 Dan Troy Dr, Williamsville, New York. You can contact this provider via phone number 7168394658. The mailing address for Lisa Ann Jackson is 332 Dan Troy Dr, Williamsville, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Ann Jackson |
|---|---|
| Address | 332 Dan Troy Dr, Williamsville, New York |
| Phone Number | 7168394658 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1316071749 |
|---|---|
| Provider Enumeration Date | 2007-03-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 332 Dan Troy Dr |
|---|---|
| City | Williamsville |
| State | New York (NY) |
| Post Code | 142213514 |
| Phone Number | 7168394658 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | 11968 |
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Definition: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1474937 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Lisa Ann Jackson by the Centers for Medicare & Medicaid Services?
The Lisa Ann Jackson has been assigned the NPI (National Provider Identifier) 1316071749 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Lisa Ann Jackson is physically located?
The Lisa Ann Jackson is situated at the following address: 332 Dan Troy Dr, Williamsville, NY 142213514.
What is Lisa Ann Jackson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Lisa Ann Jackson is Clinical Neuropsychologist, and the taxonomy code that categorizes this field of expertise is 103G00000X.
When did the Lisa Ann Jackson receive its 1316071749?
The Lisa Ann Jackson was issued its 1316071749 on 2007-03-15, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Lisa Ann Jackson most recently updated or revised?
The information pertaining to Lisa Ann Jackson, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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