Individual
DR. WILLIAM CHARLES JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(857) 891-1828
Mailing address
19 HASLET ST # 1, BOSTON, MA 02131-2933
(857) 891-1828
Taxonomy
Speciality
Code
Description
License number
State
103TH0004X
Health Psychologist
Primary
—
—
Other
Enumeration date
08/09/2011
Last updated
02/06/2017
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