Individual
DR. DAWN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
9900 W SAMPLE RD STE 300, CORAL SPRINGS, FL 33065-4077
(954) 320-7881
Mailing address
9900 W SAMPLE RD STE 300, CORAL SPRINGS, FL 33065-4077
(954) 320-7881
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
015925-1
NY
103TC0700X
Clinical Psychologist
Primary
PY8115
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02666544
—
NY
Enumeration date
06/22/2006
Last updated
06/13/2023
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