# DR. TAMMY LYNN JACKSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1619958758
- **Gender:** F
- **Credential:** PH.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TA0700X | Adult Development & Aging Psychologist | 31418 | TX | Yes |
| 103TB0200X | Cognitive & Behavioral Psychologist | 31418 | TX | — |
| 103TC1900X | Counseling Psychologist | — | NULL | — |

## Other

- **Enumeration date:** 11/07/2005
- **Last updated:** 08/25/2023