Organization
CENTER FOR PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDITH TEMPLE JACKSON PHD (MANAGER)
(610) 642-4873
Entity
Organization
Contact information
Practice address
125 COULTER AVE, ARDMORE, PA 19003
(610) 642-4873
(610) 642-4886
Mailing address
125 COULTER AVE, ARDMORE, PA 19003
(610) 642-4873
(610) 642-4886
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
PA
Other
Enumeration date
06/05/2007
Last updated
07/21/2022
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