Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JUDITH TEMPLE JACKSON, PSYCHOLOGIST
ActiveDR. JUDITH TEMPLE JACKSON, PSYCHOLOGIST is a Prescribing Psychologist healthcare provider located in ARDMORE, Pennsylvania. NPI 1497973911 is currently active in the NPPES registry. Verify at CMS.
Prescribing Psychologist · ARDMORE, PA
Registration Details
- NPI Number
- 1497973911
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 22, 2007 (19.272773273593 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PS007219L (PA)
Practice Information
- Address
-
125 COULTER AVEFLOOR 2ARDMORE, PA, 190032410Browse PA providers · Browse ZIP 19003
- Phone
- 6106424873
- Fax
- 6106424886
- Primary Specialty
-
Prescribing Psychologist
103TP0016X
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.