Daniel L Jackson in Newtonville - Child & Adolescent Psychiatry

Daniel L Jackson - NPI 1992874234

Daniel L Jackson is a Child & Adolescent Psychiatry in Newtonville, Massachusetts. Daniel L Jackson practices all healthcare services and medical treatments related to Child & Adolescent Psychiatry. The NPI Number for Daniel L Jackson is 1992874234. The last update date is 2007-07-08.

Daniel L Jackson's current location address is 115 Lowell Ave, Newtonville, Massachusetts. You can contact this provider via phone number 6173901204 and fax number 6173901584. The mailing address for Daniel L Jackson is 115 Lowell Ave, Newtonville, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Daniel L Jackson
Address 115 Lowell Ave, Newtonville, Massachusetts
Phone Number 6173901204
Fax Number 6173901584
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1992874234
Provider Enumeration Date 2006-11-08
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 115 Lowell Ave
City Newtonville
State Massachusetts (MA)
Post Code 24601521
Phone Number 6173901204
Fax Number 6173901584

Provider's Primary Taxonomy Detail

Speciality Child & Adolescent Psychiatry
Taxonomy 2084P0804X
Licence No 37404
Definition:
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

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FAQs about Daniel L Jackson

What is the Daniel L Jackson's unique identification number?

The Daniel L Jackson has been assigned the NPI (National Provider Identifier) Number 1992874234 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Daniel L Jackson is physically located?

The Daniel L Jackson is physically situated at the following address: 115 Lowell Ave, Newtonville, MA, 24601521.

What is Daniel L Jackson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Daniel L Jackson's specialized field of practice is Child & Adolescent Psychiatry, and the corresponding taxonomy code that categorizes this area of specialization is 2084P0804X.

On what date did the Daniel L Jackson receive the assignment of its 1992874234 from the Centers for Medicare & Medicaid Services?

The Daniel L Jackson was issued its 1992874234 by the Centers for Medicare & Medicaid Services on 2006-11-08.

As of what date were the details pertaining to Daniel L Jackson last refreshed?

The information related to the Daniel L Jackson, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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