Robert Leon Jackson in Springfield - Clinical
Robert Leon Jackson - NPI 1104032952
Robert Leon Jackson is a Clinical in Springfield, Illinois. Robert Leon Jackson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Robert Leon Jackson is 1104032952. The last update date is 2007-07-08.
Robert Leon Jackson's current location address is 1201 S Veterans Pkwy, Springfield, Illinois. You can contact this provider via phone number 2177932770. The mailing address for Robert Leon Jackson is 1201 S Veterans Pkwy, Springfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Leon Jackson |
|---|---|
| Address | 1201 S Veterans Pkwy, Springfield, Illinois |
| Phone Number | 2177932770 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1104032952 |
|---|---|
| Provider Enumeration Date | 2007-05-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1201 S Veterans Pkwy |
|---|---|
| City | Springfield |
| State | Illinois (IL) |
| Post Code | 627046321 |
| Phone Number | 2177932770 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
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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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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Robert Leon Jackson by the Centers for Medicare & Medicaid Services?
The Robert Leon Jackson has been issued the NPI (National Provider Identifier) 1104032952, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Robert Leon Jackson?
The Robert Leon Jackson is situated at 1201 S Veterans Pkwy, in the city of Springfield, state of IL, with the zip code 627046321.
What is Robert Leon Jackson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Robert Leon Jackson is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1104032952 to Robert Leon Jackson?
The Centers for Medicare & Medicaid Services assigned the 1104032952 to Robert Leon Jackson on 2007-05-15.
When was the Robert Leon Jackson's information last updated?
The Robert Leon Jackson's information was last updated on 2007-07-08.
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