Active NPIIndividual providerSole proprietor

Dr. Trina B Jackson, PSYD

Psychologist, Clinical in Lancaster, New Hampshire

NPI Number1578809059
Practice location
97 Main St, Lancaster, NH 03584-3063
Fax
—
Last updated
January 2, 2013

Trina Bothe Jackson is a Psychologist, Clinical based in Lancaster, NH. Trina Bothe Jackson practices in Lancaster, NH and has the professional credentials of PSYD. The NPI Number for Trina Bothe Jackson is 1578809059 and holds a License No. 1268 (NH). The current practice location address for Trina Bothe Jackson is 97 Main St, Lancaster, NH 03584-3063 and can be reached out via phone at 423-650-1851.

Provider Profile Details

NPI Number
1578809059
Provider Name
Trina Bothe Jackson
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
97 Main St, Lancaster, NH 03584-3063
Phone Number
423-650-1851
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
January 2, 2013
Last Update Date
January 2, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
97 Main St
Lancaster, NH 03584-3063
Zip
03584-3063
Phone Number
423-650-1851
Lancaster, NH 03584Get directions →

Provider Business Mailing Address Details

Address
127 Elm St
Lancaster, NH 03584-3107
City
Lancaster
State
NH
Zip
03584-3107
Phone Number
423-650-1851

License Information

License Number
1268
License State
NH
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Dr. Trina B Jackson, PSYD?

The NPI number of Dr. Trina B Jackson, PSYD is 1578809059. It was assigned on January 2, 2013 and is currently active in the NPPES registry.

What is the specialty of Dr. Trina B Jackson, PSYD?

Dr. Trina B Jackson, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in NH under license number 1268.

Where does Dr. Trina B Jackson, PSYD practice?

The practice location is 97 Main St, Lancaster, NH 03584-3063. The office can be reached at 423-650-1851 (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 1578809059 directly on the NPPES registry website.

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