Mrs Wealthia Lyna Jackson, LICENSED SCHOOL PSYC is a
Psychologist - School based in Keithville, Louisiana. Mrs Wealthia Lyna Jackson is licensed to practice in Louisiana (license number LSSP009) and her current practice location is
11115 Sandwood Dr, Keithville, Louisiana. She can be reached at her office (for appointments etc.) via phone at
(318) 393-6935.
NPI number for Mrs Wealthia Lyna Jackson is 1811412448 and her current mailing address is 11115 Sandwood Dr, Keithville, Louisiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1811412448.
Healthcare Provider's Profile
Full Name | Mrs Wealthia Lyna Jackson |
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Gender | Female |
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Speciality | Psychologist - School |
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Location | 11115 Sandwood Dr, Keithville, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1811412448
- Provider Enumeration Date: 08/04/2017
- Last Update Date: 07/21/2022
Medical Identifiers
Medical identifiers for Mrs Wealthia Lyna Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811412448 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TS0200X | Psychologist - School | LSSP009 (Louisiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Wealthia Lyna Jackson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Wealthia Lyna Jackson, LICENSED SCHOOL PSYC 11115 Sandwood Dr, Keithville, LA 71047-8345 Ph: (318) 393-6935 | Mrs Wealthia Lyna Jackson, LICENSED SCHOOL PSYC 11115 Sandwood Dr, Keithville, LA 71047-8345 Ph: (318) 393-6935 |
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