Individual
DR. CHARMAIN FIONA JACKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
124 WATERTOWN ST STE 3A, WATERTOWN, MA 02472-2599
(617) 803-2417
Mailing address
PO BOX 894, WATERTOWN, MA 02471-0894
(617) 803-2417
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
8159
MA
103TF0200X
Forensic Psychologist
—
—
Other
Enumeration date
11/08/2005
Last updated
06/11/2019
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