| Nicole Jackson, | |
|
2075 W Big Beaver Rd Ste 520, Troy, MI 48084 | |
| (248) 646-6659 | |
| Not Available |
| Full Name | Nicole Jackson |
|---|---|
| Gender | Female |
| Speciality | Psychologist |
| Location | 2075 W Big Beaver Rd Ste 520, Troy, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033632922 | NPI | - | NPPES |
| 27-2165595 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Jackson, 2075 W Big Beaver Rd Ste 520, Troy, MI 48084-3442 Ph: () - | Nicole Jackson, 2075 W Big Beaver Rd Ste 520, Troy, MI 48084 Ph: (248) 646-6659 |
Ms. Paige S Vannorman, MS Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1777 Axtell Dr Ste 100, Troy, MI 48084 Phone: 248-923-1536 | |
Ms. Kathleen Weeks Mielke, M.S.,M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6915 Rochester Rd Ste 460, Troy, MI 48085 Phone: 248-828-3030 Fax: 248-828-1010 | |
Janis Glotkowski, MA, TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1777 Axtell Dr, Suite 100, Troy, MI 48084 Phone: 248-613-5377 | |
Sonja Bastanin Djapic, TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 888 W Big Beaver Rd, Troy, MI 48084 Phone: 248-244-8644 | |
Marianne Key-carniak, Psychologist Medicare: Medicare Enrolled Practice Location: 1700 W Big Beaver Rd Ste 200, Troy, MI 48084 Phone: 248-420-6742 | |
Neala Ann O'hara, TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1777 Axtell Dr Ste 100, Troy, MI 48084 Phone: 248-613-5377 |