Individual
DR. BETTE GELLER JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
8635 W 3RD ST, SUITE 685W, LOS ANGELES, CA 90048-6101
(310) 535-3956
(310) 306-0614
Mailing address
8635 W 3RD ST, SUITE 685W, LOS ANGELES, CA 90048-6101
(310) 535-3956
(310) 306-0614
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY9528
CA
Other
Enumeration date
04/27/2009
Last updated
04/27/2009
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