Individual
DR. EDWARD L JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD PLLC
Contact information
Practice address
2900 WELCH RD, COMMERCE TWP, MI 48390-1562
(248) 767-7927
Mailing address
2900 WELCH RD, COMMERCE TWP, MI 48390-1562
(248) 767-7927
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301016271
MI
103TC0700X
Clinical Psychologist
6301016271
MI
Other
Enumeration date
04/14/2015
Last updated
11/29/2025
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