Dr. Kenneth Jackson, PHD - Chicago, IL

Dr. Kenneth Jackson, PHD

Health Service Psychologist in Chicago, Illinois

NPI 1588762108

Kenneth Jackson is a Health Service Psychologist based in Chicago, IL and is specialized in Health Service. Kenneth Jackson practices in Chicago, IL and has the professional credentials of PHD. The NPI Number for Kenneth Jackson is 1588762108 and holds a License No. 071007090 (Illinois).

The current practice location address for Kenneth Jackson is 5701 N Ashland Ave, Chicago, IL and can be reached out via phone at 773-454-7202 and via fax at 773-465-5041.

Location: 5701 N Ashland Ave, Chicago, IL, 60660-4027

NPI Number

1588762108

Provider Name

Kenneth Jackson

Credential

PHD

Provider Entity Type

Individual

Gender

Male

Address

5701 N Ashland Ave, Chicago, IL, 60660-4027

Phone Number

773-454-7202

Fax Number

773-465-5041

Provider Enumeration Date

09/20/2006

Last Update Date

03/08/2024

Address

5701 N Ashland Ave

City

Chicago

State

Illinois

Zip

60660-4027

Phone Number

773-454-7202

Fax Number

773-465-5041

Address

5701 N Ashland Ave

City

Chicago

State

Illinois

Zip

60660-4027

Phone Number

773-454-7202

Fax Number

773-465-5041

Type

Behavioral Health & Social Service Providers

Classification

Psychologist

Speciality

Clinical

Taxonomy

103TC0700X

License No.

20042218A (Indiana)

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.

Type

Behavioral Health & Social Service Providers

Classification

Psychologist

Speciality

Health Service

Taxonomy

103TH0100X

License No.

071007090 (Illinois)

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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