DR. Denis Ian Jackson, PH.D.

NPI #1013000561 in Wauwatosa, Wisconsin

Provider Information

NPI Number: 1013000561
Entity Type: Individual
Name: DR. Denis Ian Jackson, PH.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PH.D.
Enumeration Date: Oct 2, 2006
Last Updated: Nov 12, 2008

Practice Location

Address: 11931 W BLUEMOUND RD
City: Wauwatosa
State: Wisconsin
ZIP Code: 53226-3905
Phone: (414) 276-8669

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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