MS. THEODORA JACKSON
Psychologist - School
Active
Individual
NPI: 1275960189
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Psychologist - School | 103TS0200X | Yes | CERTIFIED (DC) |
Frequently Asked Questions
NPI 1275960189 is the National Provider Identifier for MS. THEODORA JACKSON, a Psychologist - School provider located in Washington, DC. This NPI was enumerated on October 9, 2013.
MS. THEODORA JACKSON practices at 540 55TH STREET, N.E., Washington, DC 20019.
Quick Facts
- NPI
- 1275960189
- Type
- Individual
- Enumerated
- Oct 9, 2013
- Last Updated
- Oct 9, 2013
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