Rickey T. Jackson in Taylor - Clinical Child & Adolescent
Rickey T. Jackson - NPI 1962428748
Rickey T. Jackson is a Clinical Child & Adolescent in Taylor, Michigan. Rickey T. Jackson practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Rickey T. Jackson is 1962428748. The last update date is 2007-07-08.
Rickey T. Jackson's current location address is 20600 Eureka Rd, Taylor, Michigan. You can contact this provider via phone number 7342858282. The mailing address for Rickey T. Jackson is 20600 Eureka Rd, Taylor, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rickey T. Jackson |
|---|---|
| Address | 20600 Eureka Rd, Taylor, Michigan |
| Phone Number | 7342858282 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSY. S. |
NPI Number Detail
| NPI Number | 1962428748 |
|---|---|
| Provider Enumeration Date | 2006-07-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 20600 Eureka Rd |
|---|---|
| City | Taylor |
| State | Michigan (MI) |
| Post Code | 481805343 |
| Phone Number | 7342858282 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
|
Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
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Post Comment/ Review Below
What is the unique identification code assigned to Rickey T. Jackson by the Centers for Medicare & Medicaid Services?
The Rickey T. Jackson has been issued the NPI (National Provider Identifier) 1962428748. This 10-digit code 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 Rickey T. Jackson?
The Rickey T. Jackson is situated at 20600 Eureka Rd, in the city of Taylor, state of MI, with the zip code 481805343.
What is Rickey T. Jackson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Rickey T. Jackson's specialized field of practice is Clinical Child & Adolescent, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc2200X.
On what date did Rickey T. Jackson receive its 1962428748 assignment from the Centers for Medicare & Medicaid Services?
The Rickey T. Jackson was assigned its 1962428748 on 2006-07-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Rickey T. Jackson most recently updated or revised?
The details related to Rickey T. Jackson, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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