Individual
DR. ELIZABETH WOOD JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
122 SAINT MARYS ST, RALEIGH, NC 27605-1809
(919) 423-2293
Mailing address
122 SAINT MARYS ST, RALEIGH, NC 27605-1809
(919) 423-2293
(919) 747-9983
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2399
NC
Other
Enumeration date
12/08/2009
Last updated
09/11/2018
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