person
Shantell Jackson
Intellectual & Developmental Disabilities Psychologist in Wickliffe, Ohio
NPI 1992307870

Shantell Jackson is a Intellectual & Developmental Disabilities Psychologist based in Wickliffe, OH and is specialized in Intellectual & Developmental Disabilities. Shantell Jackson practices in Wickliffe, OH. The NPI Number for Shantell Jackson is 1992307870 and holds a License No. 4303862 (Ohio).

The current practice location address for Shantell Jackson is 1834 Robindale St, Wickliffe, OH and can be reached out via phone at 330-368-2617.

Location: 1834 Robindale St, Wickliffe, OH, 44092-1843
person
Provider Profile Details
NPI Number
1992307870
Provider Name
Shantell Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1834 Robindale St, Wickliffe, OH, 44092-1843
Phone Number
330-368-2617
Fax Number
Provider Enumeration Date
11/15/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1834 Robindale St
City
State
Zip
44092-1843
Phone Number
330-368-2617
Fax Number
person
Provider Business Mailing Address Details
Address
1834 Robindale St
City
State
Zip
44092-1843
Phone Number
330-368-2617
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Intellectual & Developmental Disabilities
Taxonomy
License No.
4303862 (Ohio)
Definition
Definition to come...
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