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Bridgette Jackson
Health Service Psychologist in Evanston, Illinois
NPI 1497291637

Bridgette Jackson is a Health Service Psychologist based in Evanston, IL and is specialized in Health Service. Bridgette Jackson practices in Evanston, IL. The NPI Number for Bridgette Jackson is 1497291637 and holds a License No. (Illinois).

The current practice location address for Bridgette Jackson is 355 Ridge Ave, Evanston, IL and can be reached out via phone at 847-316-2440 and via fax at 847-316-2369. You can also correspond with Bridgette Jackson through the mailing address at 355 RIDGE AVE, EVANSTON, IL - 60202-3328 (mailing address contact number: 847-316-2440).

Location: 355 Ridge Ave, Evanston, IL, 60202-3328
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497291637
Provider Name
Bridgette Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
355 Ridge Ave, Evanston, IL, 60202-3328
Phone Number
847-316-2440
Fax Number
847-316-2369
Provider Enumeration Date
01/11/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
355 Ridge Ave
City
Evanston
State
Illinois
Zip
60202-3328
Phone Number
847-316-2440
Fax Number
847-316-2369
person
Provider Business Mailing Address Details
Address
355 Ridge Ave
City
Evanston
State
Illinois
Zip
60202-3328
Phone Number
847-316-2440
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Health Service
Taxonomy
103TH0100X
License No.
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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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