Linda Johnson Jackson in Stafford - Clinical
Linda Johnson Jackson - NPI 1487742102
Linda Johnson Jackson is a Clinical in Stafford, Texas. Linda Johnson Jackson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Linda Johnson Jackson is 1487742102. The last update date is 2010-11-17.
Linda Johnson Jackson's current location address is 10701 Corporate Dr Ste 220, Stafford, Texas. You can contact this provider via phone number 7137807333 and fax number 2812424334. The mailing address for Linda Johnson Jackson is 10701 Corporate Dr Ste 220, Stafford, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Linda Johnson Jackson |
|---|---|
| Address | 10701 Corporate Dr Ste 220, Stafford, Texas |
| Phone Number | 7137807333 |
| Fax Number | 2812424334 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1487742102 |
|---|---|
| Provider Enumeration Date | 2006-10-10 |
| Last Updated Date | 2010-11-17 |
Provider Mailing Address Detail
| Address | 10701 Corporate Dr Ste 220 |
|---|---|
| City | Stafford |
| State | Texas (TX) |
| Post Code | 774774093 |
| Phone Number | 7137807333 |
| Fax Number | 2812424334 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 2873 |
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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 10-digit identification code assigned to Linda Johnson Jackson by the Centers for Medicare & Medicaid Services?
The Linda Johnson Jackson has been issued the NPI (National Provider Identifier) 1487742102, which 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 Linda Johnson Jackson is located?
The Linda Johnson Jackson is situated at the following address: 10701 Corporate Dr Ste 220, Stafford, TX, 774774093.
What is the Linda Johnson Jackson's area of specialization and corresponding taxonomy classification?
The Linda Johnson Jackson's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
On what date was the 1487742102 assigned to Linda Johnson Jackson?
The Linda Johnson Jackson was issued its 1487742102 on 2006-10-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Linda Johnson Jackson's information last updated?
The Linda Johnson Jackson's information was last updated on 2010-11-17.