Judith Temple Jackson in Ardmore - Prescribing (medical)
Judith Temple Jackson - NPI 1497973911
Judith Temple Jackson is a Prescribing (medical) in Ardmore, Pennsylvania. Judith Temple Jackson practices all healthcare services and medical treatments related to Prescribing (medical). The NPI Number for Judith Temple Jackson is 1497973911. The last update date is 2007-07-08.
Judith Temple Jackson's current location address is 125 Coulter Ave, Ardmore, Pennsylvania. You can contact this provider via phone number 6106424873 and fax number 6106424886. The mailing address for Judith Temple Jackson is 125 Coulter Ave, Ardmore, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Judith Temple Jackson |
|---|---|
| Address | 125 Coulter Ave, Ardmore, Pennsylvania |
| Phone Number | 6106424873 |
| Fax Number | 6106424886 |
| Sole Proprietor | N |
| Credentials | PSYCHOLOGI |
NPI Number Detail
| NPI Number | 1497973911 |
|---|---|
| Provider Enumeration Date | 2007-04-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 125 Coulter Ave |
|---|---|
| City | Ardmore |
| State | Pennsylvania (PA) |
| Post Code | 190032410 |
| Phone Number | 6106424873 |
| Fax Number | 6106424886 |
Provider's Primary Taxonomy Detail
| Speciality | Prescribing (medical) |
|---|---|
| Taxonomy | 103Tp0016X |
| Licence No | PS007219L |
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Definition: A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establis |
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Post Comment/ Review Below
What is the Judith Temple Jackson's 1497973911?
The Judith Temple Jackson's NPI (National Provider Identifier) Number is 1497973911. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Judith Temple Jackson's physical address?
The Judith Temple Jackson is physically located at 125 Coulter Ave, in the city of Ardmore, PA, with the postal code 190032410.
What is the Judith Temple Jackson's area of specialization and corresponding taxonomy classification?
The Judith Temple Jackson's specialty field is Prescribing (medical), and it falls under the taxonomy code 103Tp0016X, which categorizes healthcare providers based on their specialties.
On what date was the 1497973911 assigned to Judith Temple Jackson?
The Judith Temple Jackson was issued its 1497973911 on 2007-04-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Judith Temple Jackson last refreshed?
The information related to the Judith Temple Jackson, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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