DR. Robert E Jackson, PH.D.

NPI #1245219849 in Kapolei, Hawaii

Provider Information

NPI Number: 1245219849
Entity Type: Individual
Name: DR. Robert E Jackson, PH.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: PH.D.
Enumeration Date: Jan 11, 2006
Last Updated: Mar 13, 2019

Practice Location

Address: 91-1010 SHANGRILA ST STE 105
City: Kapolei
State: Hawaii
ZIP Code: 96707-2176
Phone: (808) 377-4300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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