Individual
TAMMY J JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSED PSYCHOLOGIS
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
01757
MO
103TC1900X
Counseling Psychologist
01757
MO
103TC2200X
Clinical Child & Adolescent Psychologist
01757
MO
Other
Enumeration date
12/22/2006
Last updated
10/11/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up