Organization
JULIE HEIM JACKSON, PHD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE HEIM JACKSON PHD (PSYCHOLOGIST/ OWNER)
(617) 538-6856
Entity
Organization
Contact information
Practice address
175 LITTLETON RD STE 8, WESTFORD, MA 01886-3120
(617) 538-6856
Mailing address
36 BIGELOW DR, SUDBURY, MA 01776-3216
(617) 538-6856
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
9213
MA
103TC2200X
Clinical Child & Adolescent Psychologist
9213
MA
Other
Enumeration date
07/05/2016
Last updated
07/05/2016
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