| Christy S. Jackson, Ph.d., Llc | |
|
352 Main St Durham CT 06422-1645 | |
| (860) 266-6467 | |
| Not Available |
| Full Name | Christy S. Jackson, Ph.d., Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 352 Main St, Durham, Connecticut |
| Authorized Official Name and Position | Christy S Jackson (OWNER) |
| Authorized Official Contact | 8602666467 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Christy S. Jackson, Ph.d., Llc 502 Cypress Rd Newington CT 06111-5618 Ph: (860) 301-0053 | Christy S. Jackson, Ph.d., Llc 352 Main St Durham CT 06422-1645 Ph: (860) 266-6467 |
| NPI Number | 1033779533 |
|---|---|
| Provider Enumeration Date | 06/17/2019 |
| Last Update Date | 06/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033779533 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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