Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TAMMY J JACKSON, LICENSED PSYCHOLOGIS
ActiveTAMMY J JACKSON, LICENSED PSYCHOLOGIS is a Psychologist healthcare provider located in LEES SUMMIT, Missouri. NPI 1235294018 is currently active in the NPPES registry. Verify at CMS.
Psychologist · LEES SUMMIT, MO
Registration Details
- NPI Number
- 1235294018
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 22, 2006 (19.605991305973 yrs)
- Last Updated
- Oct 11, 2019
- Licenses
-
01757 (MO)01757 (MO)01757 (MO)
Practice Information
- Address
-
1272 NE WINDSOR DRLEES SUMMIT, MO, 640865594Browse MO providers · Browse ZIP 64086
- Phone
- 8162464465
- Primary Specialty
-
Psychologist
103T00000X
- Additional Specialty
- Child, Clinical Psychologist
- Additional Specialty
- Psychologist
Other Psychologist Providers in LEES SUMMIT, MO
| Name | Credential | NPI |
|---|---|---|
| MS. ROBIN LAUREE LARSON-MOLZEN | MED | 1942283478 |
| MR. CARL STANLEY MARR | PSYCHOLOGIST | 1740290063 |
| KATHRYN S ROBERTS | M.S. | 1215021068 |
| DR. JASON CARTER FAIRMAN | PSY.D. | 1417033895 |
| DR. SUSAN LAUDERDALE WALDO | PH.D. | 1174697338 |
| DR. TAMARA S BYERGO | PSYD | 1952449613 |
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.