Peter C. Jackson, Psyd Consulting, Sc

NPI #1881058675 in Madison, Wisconsin

Provider Information

NPI Number: 1881058675
Entity Type: Organization
Organization Name: Peter C. Jackson, Psyd Consulting, Sc
Primary Specialty: Psychologist - Clinical
Enumeration Date: Apr 8, 2016
Last Updated: Aug 3, 2016

Practice Location

Address: 700 RAY O VAC DR
Address 2: SUITE 220
City: Madison
State: Wisconsin
ZIP Code: 53711-2479
Phone: (608) 276-9191

Authorized Official

Name: PETER JACKSON
Title: PRESIDENT
Phone: (608) 318-3050

Specialties & Taxonomy Codes

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

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