Jeffrey S Jackson in University Park - Clinical
Jeffrey S Jackson - NPI 1164457172
Jeffrey S Jackson is a Clinical in University Park, Pennsylvania. Jeffrey S Jackson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jeffrey S Jackson is 1164457172. The last update date is 2007-07-08.
Jeffrey S Jackson's current location address is 314 Moore Building, University Park, Pennsylvania. You can contact this provider via phone number 8148652191 and fax number 8148631331. The mailing address for Jeffrey S Jackson is 314 Moore Building, University Park, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey S Jackson |
|---|---|
| Address | 314 Moore Building, University Park, Pennsylvania |
| Phone Number | 8148652191 |
| Fax Number | 8148631331 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1164457172 |
|---|---|
| Provider Enumeration Date | 2006-07-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 314 Moore Building |
|---|---|
| City | University Park |
| State | Pennsylvania (PA) |
| Post Code | 16802 |
| Phone Number | 8148652191 |
| Fax Number | 8148631331 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PS005143L |
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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 identification code assigned to Jeffrey S Jackson by the Centers for Medicare & Medicaid Services?
The Jeffrey S Jackson has been issued the NPI (National Provider Identifier) 1164457172. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jeffrey S Jackson is located?
The Jeffrey S Jackson is situated at the following address: 314 Moore Building, University Park, PA, 16802.
What is Jeffrey S Jackson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jeffrey S Jackson is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1164457172 to Jeffrey S Jackson?
The Centers for Medicare & Medicaid Services assigned the 1164457172 to Jeffrey S Jackson on 2006-07-11.
When was the information regarding Jeffrey S Jackson most recently updated?
The details pertaining to the Jeffrey S Jackson, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.