DR. Jacqueline D.s. Jackson, PH.D.
NPI #1033268909 in Menlo Park, California
Provider Information
- NPI Number
- 1033268909
- Entity Type
- Individual
- Name
- DR. Jacqueline D.s. Jackson, PH.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist - Clinical
- Credential
- PH.D.
- Enumeration Date
- Jan 9, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 800 MENLO AVE
- Address 2
- #209
- City
- Menlo Park
- State
- California
- ZIP Code
- 94025-4750
- Phone
- (650) 321-5206
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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