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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

WALLACE J JACKMON, PHD

Active

Clinical Psychologist · SIOUX FALLS, SD

Registration Details

NPI Number
1427020957
Provider Type
Individual
Gender
Male
NPI Issued
Feb 7, 2006 (20.203147134463 yrs)
Last Updated
Oct 11, 2018
License
477 (SD)

Practice Information

Address
4400 W 69TH ST
STE 1500
SIOUX FALLS, SD, 571088170
Browse SD providers · Browse ZIP 57108
Phone
6053225700
Fax
6053225704
Primary Specialty
Clinical Psychologist
103TC0700X

Other Clinical Psychologist Providers in SIOUX FALLS, SD

Name Credential NPI
MARY K KUNDE PH.D. 1619949153
CAROL BETTY KUNTZ PYS.D. 1326010851
CONSTANCE L SPICERO ED.D. 1295708741
DAVID H HYLLAND ED.D. 1962475483
NANCY ANN JOHNSON PHD 1043268758
JEROME E BUCHKOSKI PH.D. 1427000561
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.