Individual
DR. EMILY ANNE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
500 E CHURCH ST, WINTERSVILLE, OH 43953-3701
(740) 491-3819
Mailing address
408 LINCOLN AVE, CADIZ, OH 43907-1026
(740) 491-3819
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P.08016
OH
Other
Enumeration date
06/04/2018
Last updated
05/25/2020
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