PROF. Rickey T. Jackson, PSY. S.

NPI #1962428748 in Taylor, Michigan

Provider Information

NPI Number: 1962428748
Entity Type: Individual
Name: PROF. Rickey T. Jackson, PSY. S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Clinical Child & Adolescent
Credential: PSY. S.
Enumeration Date: Jul 14, 2006
Last Updated: Sep 11, 2025

Practice Location

Address: 20600 EUREKA RD
Address 2: SUITE 819
City: Taylor
State: Michigan
ZIP Code: 48180-5343
Phone: (734) 285-8282

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical Child & Adolescent — Clinical Child & Adolescent	103TC2200X	Primary
Psychologist	103T00000X

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