Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TAMMY LYNN JACKSON, PH.D.
Active Sole ProprietorDR. TAMMY LYNN JACKSON, PH.D. is a Adult Development & Aging Psychologist healthcare provider located in COLLEGE STATION, Texas. NPI 1619958758 is currently active in the NPPES registry. Verify at CMS.
Adult Development & Aging Psychologist · COLLEGE STATION, TX
Registration Details
- NPI Number
- 1619958758
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 7, 2005 (20.794637988467 yrs)
- Last Updated
- Aug 25, 2023
- Licenses
-
31418 (TX)31418 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1014 SUN MEADOW CTCOLLEGE STATION, TX, 778457291Browse TX providers · Browse ZIP 77845
- Phone
- 9792171311
- Fax
- 8556040969
- Primary Specialty
-
Adult Development & Aging Psychologist
103TA0700X
- Additional Specialty
- Counseling Psychologist
- Additional Specialty
- Adult Development & Aging Psychologist
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.