Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WALLACE J JACKMON, PHD
ActiveClinical 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 STSTE 1500SIOUX FALLS, SD, 571088170Browse 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.