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Dr. Stacey Marie Jackson, PSYD
Student in an Organized Health Care Education/Training Program in Fairchild Afb, Washington
NPI 1588189310

Stacey Marie Jackson is a Student in an Organized Health Care Education/Training Program based in Hampton, WA. Stacey Marie Jackson practices in Fairchild Afb, WA and has the professional credentials of PSYD. The NPI Number for Stacey Marie Jackson is 1588189310 and holds a License No. 08100006337 (Washington).

The current practice location address for Stacey Marie Jackson is 701 Hospital Loop, Fairchild Afb, WA and can be reached out via phone at 509-247-3852.

Location: 701 Hospital Loop, Fairchild Afb, WA, 23665-2023
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588189310
Provider Name
Stacey Marie Jackson
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
701 Hospital Loop, Fairchild Afb, WA, 23665-2023
Phone Number
509-247-3852
Fax Number
Provider Enumeration Date
08/14/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
701 Hospital Loop
City
Fairchild Afb
State
Washington
Zip
99011-8704
Phone Number
509-247-3852
Fax Number
person
Provider Business Mailing Address Details
Address
701 Hospital Loop
City
Fairchild Afb
State
Washington
Zip
99011-8704
Phone Number
509-247-3852
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
()
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
08100006337 (Virginia)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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