Kathryn Alice Jackson in Cambridge - Psychologist
Kathryn Alice Jackson - NPI 1104943901
Kathryn Alice Jackson is a Psychologist in Cambridge, Massachusetts. Kathryn Alice Jackson practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Kathryn Alice Jackson is 1104943901. The last update date is 2018-06-12.
Kathryn Alice Jackson's current location address is 45 Winslow St, Cambridge, Massachusetts. You can contact this provider via phone number 6174921942. The mailing address for Kathryn Alice Jackson is 45 Winslow St, Cambridge, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathryn Alice Jackson |
|---|---|
| Address | 45 Winslow St, Cambridge, Massachusetts |
| Phone Number | 6174921942 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1104943901 |
|---|---|
| Provider Enumeration Date | 2007-03-25 |
| Last Updated Date | 2018-06-12 |
Provider Mailing Address Detail
| Address | 45 Winslow St |
|---|---|
| City | Cambridge |
| State | Massachusetts (MA) |
| Post Code | 21386728 |
| Phone Number | 6174921942 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 7016 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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What is the unique provider identifier assigned to Kathryn Alice Jackson?
The Kathryn Alice Jackson has been issued the NPI (National Provider Identifier) 1104943901 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Kathryn Alice Jackson located?
The Kathryn Alice Jackson is located at 45 Winslow St, Cambridge, MA 21386728.
What is the area of specialization for Kathryn Alice Jackson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kathryn Alice Jackson is Psychologist, and the corresponding taxonomy code that categorizes this area of expertise is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1104943901 to Kathryn Alice Jackson?
The Kathryn Alice Jackson received its 1104943901 assignment from the Centers for Medicare & Medicaid Services on 2007-03-25.
When was the information related to Kathryn Alice Jackson most recently updated or refreshed?
The details pertaining to the Kathryn Alice Jackson, including its address, specialty, and other relevant information, were last updated or refreshed on 2018-06-12.