Organization
M HOPE JACKSON PHD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELANIE HOPE JACKSON PHD (CLINICAL PSYCHOLOGIST)
(251) 470-7607
Entity
Organization
Contact information
Practice address
2864 DAUPHIN ST, SUITE A, MOBILE, AL 36606-2479
(251) 470-7607
(251) 470-7609
Mailing address
2864 DAUPHIN ST, SUITE A, MOBILE, AL 36606-2479
(251) 470-7607
(251) 470-7609
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1369
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619953726
TYPE 1 NPI
AL
Enumeration date
04/28/2008
Last updated
04/28/2008
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