Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ILANA JACKSON, PSYD
Active Sole ProprietorILANA JACKSON, PSYD is a Clinical Psychologist healthcare provider located in BALTIMORE, Maryland. NPI 1104198522 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · BALTIMORE, MD
Registration Details
- NPI Number
- 1104198522
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 31, 2012 (14.525179381095 yrs)
- Last Updated
- Oct 10, 2016
- License
-
05059 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1 SUNNY MEADOW CTAPT 102BALTIMORE, MD, 212091255Browse MD providers · Browse ZIP 21209
- Phone
- 9088397117
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in BALTIMORE, MD
| Name | Credential | NPI |
|---|---|---|
| DR. MORDECHAI ZEIGER | PSY.D. | 1447237201 |
| DR. SANDRA MICHELLE HAWKINS-HEITT | PSY.D. | 1619942125 |
| DR. JASON DEVIVA | PH.D. | 1881654374 |
| DR. BERNARD LIBERMAN | PHD | 1528028966 |
| DR. RICHARD WARREN GOLDBERG | PH.D. | 1922069202 |
| DR. THOMAS P RUSSO | PH.D. | 1811958861 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.