DR. ANNE JACKSON, PH.D.
Psychologist - Clinical
Active
Individual
NPI: 1619127537
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Psychologist | 103T00000X | No | PSY17785 (CA) |
| Psychologist - Clinical | 103TC0700X | Yes | PSY17785 (CA) |
| Psychologist - Clinical Child & Adolescent | 103TC2200X | No | PSY17785 (CA) |
Frequently Asked Questions
NPI 1619127537 is the National Provider Identifier for DR. ANNE JACKSON, PH.D., a Psychologist - Clinical provider located in Santa Rosa, CA. This NPI was enumerated on September 27, 2008.
DR. ANNE JACKSON, PH.D. practices at 1101 COLLEGE AVE, STE 230, Santa Rosa, CA 95404.
Quick Facts
- NPI
- 1619127537
- Type
- Individual
- Enumerated
- Sep 27, 2008
- Last Updated
- Feb 6, 2017
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