Tatiana Y Jackson
Drama Therapist in Bridgeport, Connecticut
1073488862- Practice location
- 401 Dover St, Bridgeport, CT 06610-2277
- Phone
- 929-669-7281
- Fax
- —
- Last updated
- October 9, 2025
Tatiana Y Jackson is a Drama Therapist based in Bridgeport, CT. Tatiana Y Jackson practices in Bridgeport, CT. The NPI Number for Tatiana Y Jackson is 1073488862. The current practice location address for Tatiana Y Jackson is 401 Dover St, Bridgeport, CT 06610-2277 and can be reached out via phone at 929-669-7281.
Provider Profile Details
- NPI Number
- 1073488862
- Provider Name
- Tatiana Y Jackson
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 401 Dover St, Bridgeport, CT 06610-2277
- Phone Number
- 929-669-7281
- Primary Taxonomy
- Drama Therapist · 101200000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 9, 2025
- Last Update Date
- October 9, 2025
- Certification Date
- October 9, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 401 Dover St
Bridgeport, CT 06610-2277 - City
- Bridgeport
- State
- Connecticut
- Zip
- 06610-2277
- Phone Number
- 929-669-7281
Provider Business Mailing Address Details
- Address
- 401 Dover St
Bridgeport, CT 06610-2277 - City
- Bridgeport
- State
- CT
- Zip
- 06610-2277
- Phone Number
- 929-669-7281
License Information
- License State
- CT
- Taxonomy
- Drama Therapist · 101200000X · 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 Tatiana Y Jackson?
The NPI number of Tatiana Y Jackson is 1073488862. It was assigned on October 9, 2025 and is currently active in the NPPES registry.
What is the specialty of Tatiana Y Jackson?
Tatiana Y Jackson is registered under the primary taxonomy Drama Therapist (code 101200000X).
Where does Tatiana Y Jackson practice?
The practice location is 401 Dover St, Bridgeport, CT 06610-2277. The office can be reached at 929-669-7281 (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 1073488862 directly on the NPPES registry website.