Individual
DR. JOANNE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
104 GRAND ST, CROTON ON HUDSON, NY 10520-2305
(914) 271-4415
(914) 271-4415
Mailing address
341 FURNACE DOCK RD, CONDO 1, AJPT. 7, CORTLANDT MANOR, NY 10567-6534
(914) 736-2235
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
8206-1
NY
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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