| Dr Stacey Marie Jackson, PSYD | |
|
701 Hospital Loop, Fairchild Afb, WA 99011-8704 | |
| (509) 247-3852 | |
| Not Available |
| Full Name | Dr Stacey Marie Jackson |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical |
| Location | 701 Hospital Loop, Fairchild Afb, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588189310 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 08100006337 (Virginia) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stacey Marie Jackson, PSYD 11 Nealy Blvd, Hampton, VA 23665-2023 Ph: () - | Dr Stacey Marie Jackson, PSYD 701 Hospital Loop, Fairchild Afb, WA 99011-8704 Ph: (509) 247-3852 |
Dr. Glen Stuart Fisher, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2504 S Chicago St, Fairchild Afb, WA 99011 Phone: 509-247-8938 | |
Dr. P Laurine Marcinkowski, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 92nd Medical Group, 200 N. Chennault Ste 100, Fairchild Afb, WA 99011 Phone: 509-247-2731 Fax: 509-247-4499 | |
Dr. Gary L Percival, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 800 W Survival Loop, Building 1255, Fairchild Afb, WA 99011 Phone: 509-247-9714 | |
Dr. Yoko Nagao Barroso, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 701 Hospital Loop, Fairchild Afb, WA 99011 Phone: 509-247-2731 | |
Dr. Jonathan Frank, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 701 Hospital Loop Ste 306, Fairchild Afb, WA 99011 Phone: 509-247-2731 |