MRS. Wealthia Lyna Jackson, LICENSED SCHOOL PSYC
NPI #1811412448 in Keithville, Louisiana
Provider Information
- NPI Number
- 1811412448
- Entity Type
- Individual
- Name
- MRS. Wealthia Lyna Jackson, LICENSED SCHOOL PSYC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist - School
- Credential
- LICENSED SCHOOL PSYC
- Enumeration Date
- Aug 4, 2017
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 11115 SANDWOOD DR
- City
- Keithville
- State
- Louisiana
- ZIP Code
- 71047-8345
- Phone
- (318) 393-6935
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - School — School |
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