Individual
DR. DANIELLE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4868 S MERRIFIELD RD APT 6306, DALLAS, TX 75236-1447
(501) 773-3210
Mailing address
4868 S MERRIFIELD RD APT 6306, DALLAS, TX 75236-1447
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
71581
TX
Other
Enumeration date
02/04/2025
Last updated
02/04/2025
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