Debra Lynn Jackson in Eugene - Psychologist
Debra Lynn Jackson - NPI 1477769651
Debra Lynn Jackson is a Psychologist in Eugene, Oregon. Debra Lynn Jackson practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Debra Lynn Jackson is 1477769651. The last update date is 2008-12-10.
Debra Lynn Jackson's current location address is 1892 Willamette St, Eugene, Oregon. You can contact this provider via phone number 5414651885 and fax number 5413444620. The mailing address for Debra Lynn Jackson is 1892 Willamette St, Eugene, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Debra Lynn Jackson |
|---|---|
| Address | 1892 Willamette St, Eugene, Oregon |
| Phone Number | 5414651885 |
| Fax Number | 5413444620 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1477769651 |
|---|---|
| Provider Enumeration Date | 2007-05-15 |
| Last Updated Date | 2008-12-10 |
Provider Mailing Address Detail
| Address | 1892 Willamette St |
|---|---|
| City | Eugene |
| State | Oregon (OR) |
| Post Code | 974013383 |
| Phone Number | 5414651885 |
| Fax Number | 5413444620 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 1221 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1221 | OR | STATE LICENSE NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Debra Lynn Jackson by the Centers for Medicare & Medicaid Services?
The Debra Lynn Jackson has been assigned the NPI (National Provider Identifier) 1477769651 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Debra Lynn Jackson?
The Debra Lynn Jackson is physically situated at 1892 Willamette St, in the city of Eugene, state of OR, with the postal code 974013383.
What is the Debra Lynn Jackson's area of specialization and corresponding taxonomy classification?
The Debra Lynn Jackson's specialty field is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their specialties.
When did Debra Lynn Jackson receive its 1477769651 assignment?
The Debra Lynn Jackson was assigned its 1477769651 on 2007-05-15, which is the date when this unique identifier was issued to the organization.
As of what date were the Debra Lynn Jackson's details last updated?
The information pertaining to the Debra Lynn Jackson, including its address, specialty, and other details, was most recently updated on 2008-12-10.
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