Jackson L Stewart, PSYCHOLOGIST
NPI #1003328378 in Bradford, Pennsylvania
Provider Information
- NPI Number
- 1003328378
- Entity Type
- Individual
- Name
- Jackson L Stewart, PSYCHOLOGIST
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist
- Credential
- PSYCHOLOGIST
- Enumeration Date
- Oct 26, 2017
- Last Updated
- Oct 26, 2017
Practice Location
- Address
- 110 CAMPUS DR
- City
- Bradford
- State
- Pennsylvania
- ZIP Code
- 16701-1982
- Phone
- (814) 362-6535
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist |
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