Organization
SHELLI S. JACKSON, PHD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHELLI S JACKSON PHD (MANAGER)
(405) 826-6528
Entity
Organization
Contact information
Practice address
2500 BOARDWALK STE 203, NORMAN, OK 73069-6593
(405) 329-8501
(405) 253-0581
Mailing address
2500 BOARDWALK STE 218, NORMAN, OK 73069-6664
(405) 329-8501
(405) 253-0581
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
922
OK
Other
Enumeration date
12/28/2015
Last updated
12/17/2021
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