Javel Jackson is a Clinical in Decatur, Georgia. Javel Jackson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Javel Jackson is 1316081706. The last update date is 2007-07-09.
Javel Jackson's current location address is Po Box 374457, Decatur, Georgia. You can contact this provider via phone number 7706306843. The mailing address for Javel Jackson is Po Box 374457, Decatur, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Javel Jackson |
|---|---|
| Address | Po Box 374457, Decatur, Georgia |
| Phone Number | 7706306843 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1316081706 |
|---|---|
| Provider Enumeration Date | 2007-02-18 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | Po Box 374457 |
|---|---|
| City | Decatur |
| State | Georgia (GA) |
| Post Code | 300374457 |
| Phone Number | 7706306843 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 2009 |
|
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 |
|
Post Comment/ Review Below
What is the Javel Jackson's unique identification number?
The Javel Jackson has been assigned the NPI (National Provider Identifier) Number 1316081706 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Javel Jackson located?
The Javel Jackson is located at Po Box 374457, Decatur, GA 300374457.
What is Javel Jackson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Javel Jackson's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did Javel Jackson receive its 1316081706 assignment from the Centers for Medicare & Medicaid Services?
The Javel Jackson was assigned its 1316081706 on 2007-02-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Javel Jackson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Javel Jackson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-09.