| Ms Johanna B Jackson, SSP | |
|
18 Spruce Street, York, SC 29745-0770 | |
| (803) 684-1905 | |
| (803) 684-1907 |
| Full Name | Ms Johanna B Jackson |
|---|---|
| Gender | Female |
| Speciality | Psychologist - School |
| Location | 18 Spruce Street, York, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386078509 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TS0200X | Psychologist - School | 207262 (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Johanna B Jackson, SSP Po Box 770, 1475 East Liberty Street, York, SC 29745-0770 Ph: (803) 684-9916 | Ms Johanna B Jackson, SSP 18 Spruce Street, York, SC 29745-0770 Ph: (803) 684-1905 |
Ms. Ruby Chandler Billings, RN Psychologist Medicare: Not Enrolled in Medicare Practice Location: 18 Spruce St, York, SC 29745 Phone: 803-684-1905 Fax: 803-684-1907 | |
Mr. Bryan David Greeson, MA/CAS Psychologist Medicare: Not Enrolled in Medicare Practice Location: 18 Spruce Street, York, SC 29745 Phone: 803-684-1905 Fax: 803-684-1907 | |
Ms. Jessica Merritt Daniel, ED. S Psychologist Medicare: Not Enrolled in Medicare Practice Location: 18 Spruce St, York, SC 29745 Phone: 803-684-1905 Fax: 803-684-1907 | |
Mrs. Mary Gill Kennington, S.S.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 18 Spruce Street, York, SC 29745 Phone: 803-684-1905 Fax: 803-684-1907 | |
Ms. Tammy Lily White, S.S.P., L.P.E.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 18 Spruce Street, York, SC 29745 Phone: 803-684-1905 Fax: 803-684-1907 | |
Mrs. Sarah Elizabeth Dean, M.S., S.S.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 18 Spruce Street, York, SC 29745 Phone: 803-684-1905 Fax: 803-684-1907 |