Organization
ACUITY BRAIN HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACKIE L MICKLEWRIGHT PHD, LP, ABPP-CN (BOARD CERTIFIED NEUROPSYCHOLOGIST)
(404) 849-4855
Entity
Organization
Contact information
Practice address
670 CLEVELAND AVE S, SAINT PAUL, MN 55116-1218
(404) 849-4855
(651) 858-5964
Mailing address
670 CLEVELAND AVE S, SAINT PAUL, MN 55116-1218
(404) 849-4855
(651) 858-5964
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
Other
Enumeration date
06/12/2026
Last updated
06/12/2026
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