Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MAUDETTE M JACKSON
Active Sole ProprietorDR. MAUDETTE M JACKSON is a Clinical Psychologist healthcare provider located in CHICAGO, Illinois. NPI 1174848352 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · CHICAGO, IL
Registration Details
- NPI Number
- 1174848352
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 31, 2010 (16.36921809113 yrs)
- Last Updated
- Mar 31, 2010
- License
-
071006174 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
500 N DEARBORN STSUITE 1012CHICAGO, IL, 606543300Browse IL providers · Browse ZIP 60654
- Phone
- 3123755621
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in CHICAGO, IL
| Name | Credential | NPI |
|---|---|---|
| DR. BARRY M LEAVITT | PSYD | 1588667315 |
| DR. RAY EDWARD QUACKENBUSH | PSY.D. | 1619970357 |
| DR. PAUL DALE LINDEN | PSY.D. | 1578568622 |
| DR. MARY ELIZABETH PAUL | PH.D. | 1366441917 |
| ANNE R WOLFE | PHD | 1619977907 |
| CRAIG WHITNEY JOCK | PSYD | 1407857873 |
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.