Christy S. Jackson, Ph.d., LLC
Psychologist, Clinical in Durham, Connecticut
1033779533- Practice location
- 352 Main St, Durham, CT 06422-1645
- Phone
- 860-266-6467
- Fax
- —
- Last updated
- June 17, 2019
Christy S. Jackson, Ph.d., LLC is a healthcare organization based in Durham, CT. Christy S. Jackson, Ph.d., LLC practices in Durham, CT. The NPI Number for Christy S. Jackson, Ph.d., LLC is 1033779533. The current practice location address for Christy S. Jackson, Ph.d., LLC is 352 Main St, Durham, CT 06422-1645 and can be reached out via phone at 860-266-6467.
Provider Profile Details
- NPI Number
- 1033779533
- Provider Name
- Christy S. Jackson, Ph.d., LLC
- Provider Entity Type
- Organization
- Address
- 352 Main St, Durham, CT 06422-1645
- Phone Number
- 860-266-6467
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Organization Subpart
- No
- Authorized Official
- Dr. Christy S Jackson, PHD · Owner · 860-266-6467
- Provider Enumeration Date
- June 17, 2019
- Last Update Date
- June 17, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 352 Main St
Durham, CT 06422-1645 - City
- Durham
- State
- Connecticut
- Zip
- 06422-1645
- Phone Number
- 860-266-6467
Provider Business Mailing Address Details
- Address
- 502 Cypress RD
Newington, CT 06111-5618 - City
- Newington
- State
- CT
- Zip
- 06111-5618
- Phone Number
- 860-301-0053
License Information
- Taxonomy
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Christy S. Jackson, Ph.d., LLC?
The NPI number of Christy S. Jackson, Ph.d., LLC is 1033779533. It was assigned on June 17, 2019 and is currently active in the NPPES registry.
What is the specialty of Christy S. Jackson, Ph.d., LLC?
Christy S. Jackson, Ph.d., LLC is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X).
Where does Christy S. Jackson, Ph.d., LLC practice?
The practice location is 352 Main St, Durham, CT 06422-1645. The office can be reached at 860-266-6467 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033779533 directly on the NPPES registry website.