Individual
DR. JULIE HEIM JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
747 MAIN ST STE 118, CONCORD, MA 01742-3333
(978) 496-9076
Mailing address
42 GREAT LAKE DR, SUDBURY, MA 01776-1567
(617) 538-6856
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
9213
MA
103TC0700X
Clinical Psychologist
Primary
9213
MA
103TC2200X
Clinical Child & Adolescent Psychologist
9213
MA
Other
Enumeration date
06/18/2007
Last updated
10/05/2022
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