Organization
BAYSIDE PSYCHOLOGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER M JACKSON PSYD (CLINICAL PSYCHOLOGIST)
(251) 599-3728
Entity
Organization
Contact information
Practice address
273 AZALEA RD STE 305, MOBILE, AL 36609-1970
(251) 599-3728
Mailing address
273 AZALEA RD STE 305, MOBILE, AL 36609-1970
(251) 599-3728
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/22/2009
Last updated
06/22/2009
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