Individual
DR. CORRIE L JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4 TERRY DR, SUITE 11, NEWTOWN, PA 18940-1838
(267) 454-1831
Mailing address
243 RUMFORD CT, NEWTOWN, PA 18940-1773
(412) 841-2833
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
04/07/2014
Last updated
04/07/2014
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