DR. Judith Temple Jackson, PSYCHOLOGIST
NPI #1497973911 in Ardmore, Pennsylvania
Provider Information
- NPI Number
- 1497973911
- Entity Type
- Individual
- Name
- DR. Judith Temple Jackson, PSYCHOLOGIST
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist - Prescribing (Medical)
- Credential
- PSYCHOLOGIST
- Enumeration Date
- Apr 22, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 125 COULTER AVE
- Address 2
- FLOOR 2
- City
- Ardmore
- State
- Pennsylvania
- ZIP Code
- 19003-2410
- Phone
- (610) 642-4873
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Prescribing (Medical) — Prescribing (Medical) |
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