Individual
DR. CATHERINE BENEDICT JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
7272 WURZBACH RD, SUITE 706, SAN ANTONIO, TX 78240-4801
(210) 615-3483
(210) 593-9863
Mailing address
7272 WURZBACH RD, SUITE 706, SAN ANTONIO, TX 78240-4801
(210) 615-3483
(210) 593-9863
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
33097
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1848095-01
—
TX
05
—
1848095-02
—
TX
Enumeration date
11/17/2006
Last updated
09/29/2014
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