Dr. Jennifer L Jackson, PHD
Psychologist, Clinical in Summit, New Jersey
1336360247- Practice location
- 35 Deforest Ave, Summit, NJ 07901-2155
- Phone
- 917-685-4207
- Fax
- —
- Last updated
- July 15, 2010
Jennifer L Jackson is a Psychologist, Clinical based in Summit, NJ. Jennifer L Jackson practices in Summit, NJ and has the professional credentials of PHD. The NPI Number for Jennifer L Jackson is 1336360247 and holds a License No. 016536 (NY). The current practice location address for Jennifer L Jackson is 35 Deforest Ave, Summit, NJ 07901-2155 and can be reached out via phone at 917-685-4207.
Provider Profile Details
- NPI Number
- 1336360247
- Provider Name
- Jennifer L Jackson
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 35 Deforest Ave, Summit, NJ 07901-2155
- Phone Number
- 917-685-4207
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 1, 2007
- Last Update Date
- July 15, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 35 Deforest Ave
Summit, NJ 07901-2155 - City
- Summit
- State
- New Jersey
- Zip
- 07901-2155
- Phone Number
- 917-685-4207
Provider Business Mailing Address Details
- Address
- 35 Deforest Ave
Summit, NJ 07901-2155 - City
- Summit
- State
- NJ
- Zip
- 07901-2155
- Phone Number
- 917-685-4207
License Information
- License Number (1)
- 016536
- License State (1)
- NY
- Taxonomy (1)
- Psychologist, Clinical · 103TC0700X · Primary
- License Number (2)
- 016536
- License State (2)
- NY
- Taxonomy (2)
- Psychologist, Clinical Child & Adolescent · 103TC2200X
- License Number (3)
- 016536
- License State (3)
- NY
- Taxonomy (3)
- Psychologist, Family · 103TF0000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Psychologist, Clinical providers near Summit, NJ
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- Dr. Cheryl A Notari, PHDPsychologist, Clinical · NPI 1053459933
- Dr. Doreen M Didomenico, PHDPsychologist, Clinical · NPI 1679591630
- Dr. Elizabeth H Goldberg, PHDPsychologist, Clinical · NPI 1972602795
Frequently Asked Questions
What is the NPI number of Dr. Jennifer L Jackson, PHD?
The NPI number of Dr. Jennifer L Jackson, PHD is 1336360247. It was assigned on May 1, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Jennifer L Jackson, PHD?
Dr. Jennifer L Jackson, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in NY under license number 016536.
Where does Dr. Jennifer L Jackson, PHD practice?
The practice location is 35 Deforest Ave, Summit, NJ 07901-2155. The office can be reached at 917-685-4207 (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 1336360247 directly on the NPPES registry website.