Individual
AMANDA ARTESE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1608 NEWPORT GAP PIKE, WILMINGTON, DE 19808-6208
(302) 440-4219
Mailing address
1608 NEWPORT GAP PIKE, WILMINGTON, DE 19808-6208
(302) 440-4219
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
B1-0001006
DE
Other
Enumeration date
09/17/2014
Last updated
07/06/2023
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