Peter C. Jackson, Psyd Consulting, Sc | |
700 Ray O Vac Dr Suite 220 Madison WI 53711-2479 | |
(608) 276-9191 | |
(608) 276-9144 |
Full Name | Peter C. Jackson, Psyd Consulting, Sc |
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Speciality | Psychologist - Clinical |
Location | 700 Ray O Vac Dr, Madison, Wisconsin |
Authorized Official Name and Position | Peter Jackson (PRESIDENT) |
Authorized Official Contact | 6083183050 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Peter C. Jackson, Psyd Consulting, Sc 700 Rayovac Drive Suite 220 Madison WI 53711-2476 Ph: (608) 276-9191 | Peter C. Jackson, Psyd Consulting, Sc 700 Ray O Vac Dr Suite 220 Madison WI 53711-2479 Ph: (608) 276-9191 |
NPI Number | 1881058675 |
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Provider Enumeration Date | 04/08/2016 |
Last Update Date | 08/03/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881058675 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 180557 (Wisconsin) | Primary |
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