Tekesia Marie Jackson in Compton - Clinical
Tekesia Marie Jackson - NPI 1457418055
Tekesia Marie Jackson is a Clinical in Compton, California. Tekesia Marie Jackson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Tekesia Marie Jackson is 1457418055. The last update date is 2014-04-29.
Tekesia Marie Jackson's current location address is Po Box 4204, Compton, California. You can contact this provider via phone number 3106194699 and fax number 3109354557. The mailing address for Tekesia Marie Jackson is Po Box 4204, Compton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tekesia Marie Jackson |
|---|---|
| Address | Po Box 4204, Compton, California |
| Phone Number | 3106194699 |
| Fax Number | 3109354557 |
| Sole Proprietor | N |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1457418055 |
|---|---|
| Provider Enumeration Date | 2007-01-02 |
| Last Updated Date | 2014-04-29 |
Provider Mailing Address Detail
| Address | Po Box 4204 |
|---|---|
| City | Compton |
| State | California (CA) |
| Post Code | 902244204 |
| Phone Number | 3106194699 |
| Fax Number | 3109354557 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY24968 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique identifier code issued to Tekesia Marie Jackson by the Centers for Medicare & Medicaid Services?
The Tekesia Marie Jackson has been assigned the NPI (National Provider Identifier) 1457418055. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Tekesia Marie Jackson is geographically located?
The Tekesia Marie Jackson is physically situated at the following location: Po Box 4204, Compton, CA, 902244204.
What is the area of specialization for Tekesia Marie Jackson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Tekesia Marie Jackson is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
On what date did the Tekesia Marie Jackson receive its 1457418055 assignment from the Centers for Medicare & Medicaid Services?
The Tekesia Marie Jackson was assigned its 1457418055 by the Centers for Medicare & Medicaid Services on 2007-01-02.
As of what date were the details pertaining to Tekesia Marie Jackson last refreshed?
The information related to the Tekesia Marie Jackson, including its address, specialty, and other relevant details, was last updated on 2014-04-29.
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