Lyric Leanna Jackson

NPI #1083373625 in Bryan, Texas

Provider Information

NPI Number: 1083373625
Entity Type: Individual
Name: Lyric Leanna Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Enumeration Date: Dec 10, 2021
Last Updated: Dec 10, 2021

Practice Location

Address: 2900 E 29TH ST
City: Bryan
State: Texas
ZIP Code: 77802-2622
Phone: (979) 776-8440

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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