Individual
CATHERINE DO JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4455 E 56TH ST, DAVENPORT, IA 52807-2995
(563) 355-2577
(563) 355-4015
Mailing address
865 LINCOLN RD STE L10, BETTENDORF, IA 52722-4159
(563) 355-9200
(563) 355-3419
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
001161
IA
Other
Enumeration date
05/19/2010
Last updated
07/15/2021
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