Individual
AMY JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
5224 NW 43RD LANE RD, OCALA, FL 34482-8686
(269) 208-0002
Mailing address
5224 NW 43RD LANE RD, OCALA, FL 34482-8686
(269) 208-0002
(480) 275-2598
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
12677
FL
103T00000X
Psychologist
Primary
4447
AZ
Other
Enumeration date
10/08/2014
Last updated
06/15/2026
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