| Richard T Jackson Llc | |
|
3 Lear Jet Ln Ste 203 Latham NY 12110-2322 | |
| (518) 258-4033 | |
| Not Available |
| Full Name | Richard T Jackson Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 3 Lear Jet Ln Ste 203, Latham, New York |
| Authorized Official Name and Position | Richard T Jackson (OWNER) |
| Authorized Official Contact | 6469577648 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard T Jackson Llc 7 Southside Dr Ste 206 Clifton Park NY 12065-3894 Ph: (518) 709-0005 | Richard T Jackson Llc 3 Lear Jet Ln Ste 203 Latham NY 12110-2322 Ph: (518) 258-4033 |
| NPI Number | 1457961559 |
|---|---|
| Provider Enumeration Date | 08/04/2020 |
| Last Update Date | 08/04/2020 |
| Certification Date | 08/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457961559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
Kimberly A. Hostig Licensed Clinical Social Worker Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 8 Stanley Cir Ste 11, Latham, NY 12110 Phone: 518-222-6752 Fax: 518-786-0917 | |
Capital District Behavioral Health Psychologists, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 20 Century Hill Drive, Suite 202, Latham, NY 12110 Phone: 518-785-7283 Fax: 518-785-7293 | |
Madhu Padi Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 711 Troy Schenectady Rd, Latham, NY 12110 Phone: 518-782-3820 | |
Freedom First Psychological Services, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4 Avis Dr Ste 101, Latham, NY 12110 Phone: 518-560-4277 Fax: 518-662-4277 | |
Achievements Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 623 New Loudon Rd, Latham, NY 12110 Phone: 518-782-1178 Fax: 518-782-3433 | |
Affiliated Psychological Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 623 New Loudon Rd, Latham, NY 12110 Phone: 518-783-1051 Fax: 518-783-1051 | |
Petsche Psychology Practice, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 21 British American Blvd, Latham, NY 12110 Phone: 518-344-4141 |