C Wesley Jackson Jr PHD INC
NPI #1720202500 in Cleveland Heights, Ohio
Provider Information
- NPI Number
- 1720202500
- Entity Type
- Organization
- Organization Name
- C Wesley Jackson Jr PHD INC
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Apr 12, 2007
- Last Updated
- Jul 30, 2012
Practice Location
- Address
- 2980 WASHINGTON BLVD
- State
- Ohio
- ZIP Code
- 44118-2450
- Phone
- (216) 321-9355
Authorized Official
- Name
- C WESLEY JACKSON JR., PHD
- Title
- PRESIDENT OWNER
- Phone
- (216) 321-9355
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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