John L Jackson, PH.D.
NPI #1316169279 in Maryland Heights, Missouri
Provider Information
- NPI Number
- 1316169279
- Entity Type
- Individual
- Name
- John L Jackson, PH.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist - Clinical
- Credential
- PH.D.
- Enumeration Date
- May 2, 2007
- Last Updated
- Jan 28, 2025
Practice Location
- Address
- PO BOX 1718
- City
- Maryland Heights
- State
- Missouri
- ZIP Code
- 63043-0718
- Phone
- (224) 935-9807
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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