Individual
DR. COLLEEN ELIZABETH JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
185 DEVONSHIRE STREET, SUITE 902, BOSTON, MA 02110-1402
(617) 362-0588
Mailing address
185 DEVONSHIRE STREET, SUITE 902, BOSTON, MA 02110-1402
(617) 362-0588
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
11211
MA
103G00000X
Clinical Neuropsychologist
PS01471
RI
103T00000X
Psychologist
PS01471
RI
103TC0700X
Clinical Psychologist
PS01471
RI
Other
Enumeration date
04/08/2016
Last updated
08/31/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us