Individual
DANIEL WAYNE JACKSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1500 NORWOOD DR, #205, HURST, TX 76054-3651
(817) 282-1885
(817) 282-1683
Mailing address
1500 NORWOOD DR, #205, HURST, TX 76054-3651
(817) 282-1885
(817) 282-1683
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
22481
TX
Other
Enumeration date
07/28/2006
Last updated
01/23/2008
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