Organization
JACKSON PSYCHOLOGICAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA JOSEPHINE SHEEHY JACKSON PHD (OWNER)
(518) 313-6105
Entity
Organization
Contact information
Practice address
29 W FULTON ST STE D, GLOVERSVILLE, NY 12078-2937
(518) 313-6105
(518) 205-7520
Mailing address
29 W FULTON ST STE D, GLOVERSVILLE, NY 12078-2937
(518) 313-6105
(518) 205-7520
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
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