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David K Jackson, PHDMSCP
Prescribing (Medical) Psychologist in New Orleans, Louisiana
NPI 1053464339

David K Jackson is a Prescribing (Medical) Psychologist based in New Orleans, LA and is specialized in Prescribing (Medical). David K Jackson practices in New Orleans, LA and has the professional credentials of PHDMSCP. The NPI Number for David K Jackson is 1053464339 and holds a License No. 694MP (Louisiana).

The current practice location address for David K Jackson is 200 Henry Clay Ave, New Orleans, LA and can be reached out via phone at 504-896-7272.

Location: 200 Henry Clay Ave, New Orleans, LA, 70118-5720
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053464339
Provider Name
David K Jackson
Credential
PHDMSCP
Provider Entity Type
Individual
Gender
Male
Address
200 Henry Clay Ave, New Orleans, LA, 70118-5720
Phone Number
504-896-7272
Fax Number
Provider Enumeration Date
01/19/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1677833 05 LA
institution
Provider Business Practice Location Address Details
Address
200 Henry Clay Ave
City
New Orleans
State
Louisiana
Zip
70118-5911
Phone Number
504-896-7272
Fax Number
person
Provider Business Mailing Address Details
Address
200 Henry Clay Ave
City
New Orleans
State
Louisiana
Zip
70118-5911
Phone Number
504-896-7272
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Prescribing (Medical)
Taxonomy
103TP0016X
License No.
694MP (Louisiana)
Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
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