Tammy J Jackson in Lees Summit - Psychologist
Tammy J Jackson - NPI 1235294018
Tammy J Jackson is a Psychologist in Lees Summit, Missouri. Tammy J Jackson practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Tammy J Jackson is 1235294018. The last update date is 2019-10-11.
Tammy J Jackson's current location address is 1272 Ne Windsor Dr, Lees Summit, Missouri. You can contact this provider via phone number 8162464465. The mailing address for Tammy J Jackson is 1272 Ne Windsor Dr, Lees Summit, Missouri. To know further, please read the information below!
Provider Profile Detail
Provider Name | Tammy J Jackson |
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Address | 1272 Ne Windsor Dr, Lees Summit, Missouri |
Phone Number | 8162464465 |
Fax Number | |
Sole Proprietor | N |
Credentials | LICENSED P |
NPI Number Detail
NPI Number | 1235294018 |
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Provider Enumeration Date | 2006-12-22 |
Last Updated Date | 2019-10-11 |
Provider Mailing Address Detail
Address | 1272 Ne Windsor Dr |
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City | Lees Summit |
State | Missouri (MO) |
Post Code | 640865594 |
Phone Number | 8162464465 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Psychologist |
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Taxonomy | 103T00000X |
Licence No | 1757 |
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 10-digit identification code assigned to Tammy J Jackson by the Centers for Medicare & Medicaid Services?
The Tammy J Jackson has been issued the NPI (National Provider Identifier) 1235294018, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Tammy J Jackson's facilities are situated?
The facilities of Tammy J Jackson are physically located at the following address: 1272 Ne Windsor Dr, Lees Summit, MO, 640865594.
What is Tammy J Jackson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Tammy J Jackson is Psychologist, and the taxonomy classification code that categorizes this area of expertise is 103T00000X.
On what date did the Tammy J Jackson receive its 1235294018 assignment from the Centers for Medicare & Medicaid Services?
The Tammy J Jackson was assigned its 1235294018 by the Centers for Medicare & Medicaid Services on 2006-12-22.
As of what date were the details related to Tammy J Jackson most recently updated or revised?
The information pertaining to Tammy J Jackson, including its address, specialty, and other relevant details, was last updated or revised on 2019-10-11.