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Peter C. Jackson, PSYD
Clinical Psychologist in Madison, Wisconsin
NPI 1942365994

Peter C. Jackson is a Clinical Psychologist based in Madison, WI and is specialized in Clinical. Peter C. Jackson practices in Madison, WI and has the professional credentials of PSYD. The NPI Number for Peter C. Jackson is 1942365994 and holds a License No. 1805-057 (Wisconsin).

The current practice location address for Peter C. Jackson is 700 Ray O Vac Dr, Madison, WI and can be reached out via phone at 608-276-9191 and via fax at 608-276-9144.

Location: 700 Ray O Vac Dr, Madison, WI, 53705-2167
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942365994
Provider Name
Peter C. Jackson
Credential
PSYD
Provider Entity Type
Individual
Gender
Male
Address
700 Ray O Vac Dr, Madison, WI, 53705-2167
Phone Number
608-276-9191
Fax Number
608-276-9144
Provider Enumeration Date
12/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
39105300 05 WI
institution
Provider Business Practice Location Address Details
Address
700 Ray O Vac Dr
City
Madison
State
Wisconsin
Zip
53711-2479
Phone Number
608-276-9191
Fax Number
608-276-9144
person
Provider Business Mailing Address Details
Address
700 Ray O Vac Dr
City
Madison
State
Wisconsin
Zip
53711-2479
Phone Number
608-276-9191
Fax Number
608-276-9144
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
1805-057 (Wisconsin)
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.
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