Organization
BRONX PSYCHOLOGY SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANA JAMAL JACKSON PSYD. (CLINICAL PSYCHOLOGIST/PRESIDENT)
(847) 977-0609
Entity
Organization
Contact information
Practice address
906 E 180TH ST STE 202, BRONX, NY 10460-1917
(847) 977-0609
Mailing address
906 E 180TH ST STE 202, BRONX, NY 10460-1917
(847) 977-0609
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
016903
NY
Other
Enumeration date
09/05/2013
Last updated
09/05/2013
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