Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHANNON JACKSON, PSY.D.
Active Sole ProprietorDR. SHANNON JACKSON, PSY.D. is a Clinical Psychologist healthcare provider located in MANCHESTER, Connecticut. NPI 1417281064 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · MANCHESTER, CT
Registration Details
- NPI Number
- 1417281064
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 30, 2009 (16.847295856936 yrs)
- Last Updated
- Sep 30, 2009
- License
-
00297 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
150 NORTH MAIN STECHN HEALTH SERVICESMANCHESTER, CT, 060404188Browse CT providers · Browse ZIP 06040
- Phone
- 8606476832
- Fax
- 8606476831
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in MANCHESTER, CT
| Name | Credential | NPI |
|---|---|---|
| ANNA MUHLHAUSER | PSYD | 1225112816 |
| DAVID MOYER | PHD | 1609950286 |
| ROBERT DELL | PSYD | 1366526923 |
| KEVIN R. CONTER | PHD | 1851475420 |
| DR. STEVEN BONANNO | PSY.D. | 1093907917 |
| DR. ENEIDA M. SILVA | PHD | 1477800837 |
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.