Angela Jackson, SCHOOL PSYCHOLOGIST

NPI #1174268783 in Fredericktown, Missouri

Provider Information

NPI Number: 1174268783
Entity Type: Individual
Name: Angela Jackson, SCHOOL PSYCHOLOGIST
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - School
Credential: SCHOOL PSYCHOLOGIST
Enumeration Date: Apr 28, 2022
Last Updated: Apr 28, 2022

Practice Location

Address: 10533 HIGHWAY 67
City: Fredericktown
State: Missouri
ZIP Code: 63645-7014
Phone: (314) 325-6748

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - School — School	103TS0200X	Primary

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