DR. LISA JACKSON, PH.D.
Psychologist - Cognitive & Behavioral
Active
Individual
NPI: 1811012669
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Psychologist | 103T00000X | No | 016988 (NY) |
| Psychologist - Cognitive & Behavioral | 103TB0200X | Yes | 016988 (NY) |
Frequently Asked Questions
NPI 1811012669 is the National Provider Identifier for DR. LISA JACKSON, PH.D., a Psychologist - Cognitive & Behavioral provider located in Clifton Park, NY. This NPI was enumerated on March 20, 2007.
DR. LISA JACKSON, PH.D. practices at 990 ROUTE 146, Clifton Park, NY 12065.
Quick Facts
- NPI
- 1811012669
- Type
- Individual
- Enumerated
- Mar 20, 2007
- Last Updated
- Jan 7, 2014
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