Jackson Therapy Services LLC

NPI #1669921193 in Towson, Maryland

Provider Information

NPI Number: 1669921193
Entity Type: Organization
Organization Name: Jackson Therapy Services LLC
Primary Specialty: Psychologist - Clinical
Enumeration Date: Sep 26, 2016
Last Updated: Sep 26, 2016

Practice Location

Address: 405 ALLEGHENY AVE
City: Towson
State: Maryland
ZIP Code: 21204-4256
Phone: (908) 839-7117

Authorized Official

Name: ILANA JACKSON, PSYD
Title: OWNER
Phone: (908) 839-7117

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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