Shelli Shultz Jackson in Norman - Psychologist
Shelli Shultz Jackson - NPI 1033129010
Shelli Shultz Jackson is a Psychologist in Norman, Oklahoma. Shelli Shultz Jackson practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Shelli Shultz Jackson is 1033129010. The last update date is 2021-12-17.
Shelli Shultz Jackson's current location address is 2500 Boardwalk Ste 203, Norman, Oklahoma. You can contact this provider via phone number 4053298501 and fax number 4052530581. The mailing address for Shelli Shultz Jackson is 2500 Boardwalk Ste 203, Norman, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shelli Shultz Jackson |
|---|---|
| Address | 2500 Boardwalk Ste 203, Norman, Oklahoma |
| Phone Number | 4053298501 |
| Fax Number | 4052530581 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1033129010 |
|---|---|
| Provider Enumeration Date | 2006-08-09 |
| Last Updated Date | 2021-12-17 |
Provider Mailing Address Detail
| Address | 2500 Boardwalk Ste 203 |
|---|---|
| City | Norman |
| State | Oklahoma (OK) |
| Post Code | 730696593 |
| Phone Number | 4053298501 |
| Fax Number | 4052530581 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 922 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100839280A | OK | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Shelli Shultz Jackson by the Centers for Medicare & Medicaid Services?
The Shelli Shultz Jackson has been assigned the NPI (National Provider Identifier) 1033129010. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Shelli Shultz Jackson's facilities are geographically located?
The facilities of Shelli Shultz Jackson are physically situated at the following location: 2500 Boardwalk Ste 203, Norman, OK, 730696593.
What is the area of specialization for Shelli Shultz Jackson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Shelli Shultz Jackson is Psychologist, and the corresponding taxonomy code that categorizes this area of expertise is 103T00000X.
When did the Shelli Shultz Jackson receive its 1033129010?
The Shelli Shultz Jackson was issued its 1033129010 on 2006-08-09, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Shelli Shultz Jackson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Shelli Shultz Jackson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-12-17.