Individual
TAMMY J JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSED PSYCHOLOGIS
Contact information
Practice address
1272 NE WINDSOR DR, LEES SUMMIT, MO 64086-5594
(816) 246-4465
Mailing address
1272 NE WINDSOR DR, LEES SUMMIT, MO 64086-5594
(816) 246-4465
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
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us