Peter C. Jackson is a Clinical in Madison, Wisconsin. Peter C. Jackson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Peter C. Jackson is 1942365994. The last update date is 2019-01-22.
Peter C. Jackson's current location address is 3330 University Ave, Madison, Wisconsin. You can contact this provider via phone number 6082769191 and fax number 6082769144. The mailing address for Peter C. Jackson is 3330 University Ave, Madison, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Peter C. Jackson |
|---|---|
| Address | 3330 University Ave, Madison, Wisconsin |
| Phone Number | 6082769191 |
| Fax Number | 6082769144 |
| Sole Proprietor | Y |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1942365994 |
|---|---|
| Provider Enumeration Date | 2006-12-27 |
| Last Updated Date | 2019-01-22 |
Provider Mailing Address Detail
| Address | 3330 University Ave |
|---|---|
| City | Madison |
| State | Wisconsin (WI) |
| Post Code | 537052167 |
| Phone Number | 6082769191 |
| Fax Number | 6082769144 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 1805-057 |
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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 |
|---|---|---|---|
| 39105300 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Peter C. Jackson by the Centers for Medicare & Medicaid Services?
The Peter C. Jackson has been assigned the NPI (National Provider Identifier) 1942365994 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Peter C. Jackson?
The Peter C. Jackson is situated at 3330 University Ave, in the city of Madison, state of WI, with the zip code 537052167.
What is the Peter C. Jackson's area of specialization and corresponding taxonomy classification?
The Peter C. 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 did the Centers for Medicare & Medicaid Services assign the 1942365994 to Peter C. Jackson?
The Centers for Medicare & Medicaid Services assigned the 1942365994 to Peter C. Jackson on 2006-12-27.
As of what date was the information pertaining to Peter C. Jackson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Peter C. Jackson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2019-01-22.