Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ERIC D JACKSON, PHD
Active Sole ProprietorERIC D JACKSON, PHD is a Clinical Psychologist healthcare provider located in ORANGE, Connecticut. NPI 1184047698 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · ORANGE, CT
Registration Details
- NPI Number
- 1184047698
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 4, 2014 (12.495832541629 yrs)
- Last Updated
- Feb 4, 2014
- License
-
003329 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
35 OLD TAVERN RDSUITE 103ORANGE, CT, 064773450Browse CT providers · Browse ZIP 06477
- Phone
- 2037019666
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in ORANGE, CT
| Name | Credential | NPI |
|---|---|---|
| DR. THOMAS MICHAEL FAHY | PSY.D. | 1538266184 |
| DR. LINDA S. PODD | PH.D. | 1528190006 |
| DR. ARMIN PAUL THIES | PH.D., ABPP-CN | 1134244403 |
| DR. JUDY LYNNE PERLMAN | PH.D. | 1386830107 |
| HELEN SACKLER | PH.D. | 1194963876 |
| DR. TAIKI MATSUURA | PH.D. | 1538761713 |
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.