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Dayvionne Jackson
Health Service Psychologist in Eastlake, Ohio
NPI 1265135354

Dayvionne Jackson is a Health Service Psychologist based in Eastlake, OH and is specialized in Health Service. Dayvionne Jackson practices in Eastlake, OH. The NPI Number for Dayvionne Jackson is 1265135354 and holds a License No. (Ohio).

The current practice location address for Dayvionne Jackson is 36260 Lake Shore Blvd Apt 201, Eastlake, OH and can be reached out via phone at 440-796-4482.

Location: 36260 Lake Shore Blvd Apt 201, Eastlake, OH, 44095-1446
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265135354
Provider Name
Dayvionne Jackson
Credential
Provider Entity Type
Individual
Gender
Male
Address
36260 Lake Shore Blvd Apt 201, Eastlake, OH, 44095-1446
Phone Number
440-796-4482
Fax Number
Provider Enumeration Date
03/27/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
36260 Lake Shore Blvd Apt 201
City
Eastlake
State
Ohio
Zip
44095-1446
Phone Number
440-796-4482
Fax Number
person
Provider Business Mailing Address Details
Address
36260 Lake Shore Blvd Apt 201
City
Eastlake
State
Ohio
Zip
44095-1446
Phone Number
440-796-4482
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Health Service
Taxonomy
103TH0100X
License No.
(Ohio)
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
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