Marianne Jackson is a Clinical in Brooklyn, New York. Marianne Jackson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Marianne Jackson is 1184832396. The last update date is 2007-07-09.
Marianne Jackson's current location address is 60 Plaza St E Apt 1k, Brooklyn, New York. You can contact this provider via phone number 7188574610 and fax number 7188573160. The mailing address for Marianne Jackson is 60 Plaza St E Apt 1k, Brooklyn, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marianne Jackson |
|---|---|
| Address | 60 Plaza St E Apt 1k, Brooklyn, New York |
| Phone Number | 7188574610 |
| Fax Number | 7188573160 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1184832396 |
|---|---|
| Provider Enumeration Date | 2007-05-19 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 60 Plaza St E Apt 1k |
|---|---|
| City | Brooklyn |
| State | New York (NY) |
| Post Code | 112385033 |
| Phone Number | 7188574610 |
| Fax Number | 7188573160 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 07305-1 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11559263 | NY | CAQH PROVIDER ID | |
| 5024687 | NY | AETNA PROVIDER PIN | |
| 145969 | NY | VALUE OPTIONS MEMBER ID | |
| A123282 | NY | VALUE OPTIONS VENDER ID | |
| 953168 | NY | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Marianne Jackson?
The Marianne Jackson has been issued the NPI (National Provider Identifier) 1184832396 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Marianne Jackson's facilities are geographically located?
The facilities of Marianne Jackson are physically situated at the following location: 60 Plaza St E Apt 1K, Brooklyn, NY, 112385033.
What is Marianne Jackson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Marianne Jackson is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
When did the Marianne Jackson receive its 1184832396?
The Marianne Jackson was issued its 1184832396 on 2007-05-19, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Marianne Jackson last refreshed?
The information related to the Marianne Jackson, including its address, specialty, and other relevant details, was last updated on 2007-07-09.