Organization
CONSULTING PSYCHOLOGISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHERYL R JACKSON PHD (PSYCHOLOGIST)
(817) 909-7995
Entity
Organization
Contact information
Practice address
1215 HALL JOHNSON RD, SUITE 100, COLLEYVILLE, TX 76034-7810
(817) 909-7995
(817) 428-9885
Mailing address
1215 HALL JOHNSON RD, SUITE 100, COLLEYVILLE, TX 76034-7810
(817) 909-7995
(817) 428-9885
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
33275
TX
103TC0700X
Clinical Psychologist
Primary
33305
TX
Other
Enumeration date
01/03/2008
Last updated
01/03/2008
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