Theopia Renee Jackson in Oakland - Psychologist
Theopia Renee Jackson - NPI 1295929420
Theopia Renee Jackson is a Psychologist in Oakland, California. Theopia Renee Jackson practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Theopia Renee Jackson is 1295929420. The last update date is 2007-08-30.
Theopia Renee Jackson's current location address is 747 Fifty Second St., Oakland, California. You can contact this provider via phone number 5104284893. The mailing address for Theopia Renee Jackson is 747 Fifty Second St., Oakland, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theopia Renee Jackson |
|---|---|
| Address | 747 Fifty Second St., Oakland, California |
| Phone Number | 5104284893 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1295929420 |
|---|---|
| Provider Enumeration Date | 2007-08-30 |
| Last Updated Date | 2007-08-30 |
Provider Mailing Address Detail
| Address | 747 Fifty Second St. |
|---|---|
| City | Oakland |
| State | California (CA) |
| Post Code | 946091809 |
| Phone Number | 5104284893 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PSY15699 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Theopia Renee Jackson by the Centers for Medicare & Medicaid Services?
The Theopia Renee Jackson has been issued the NPI (National Provider Identifier) 1295929420 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Theopia Renee Jackson is located?
The Theopia Renee Jackson is situated at the following address: 747 Fifty Second St., Oakland, CA, 946091809.
What is the Theopia Renee Jackson's area of specialization and corresponding taxonomy classification?
The Theopia Renee Jackson's specialty field is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their specialties.
When did Theopia Renee Jackson receive its 1295929420 assignment?
The Theopia Renee Jackson was assigned its 1295929420 on 2007-08-30, which is the date when this unique identifier was issued to the organization.
When was the information regarding Theopia Renee Jackson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Theopia Renee Jackson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-08-30.
NPI Number: 1932102142
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