Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LISA JACKSON, PH.D.
Active Sole ProprietorDR. LISA JACKSON, PH.D. is a Cognitive & Behavioral Psychologist healthcare provider located in CLIFTON PARK, New York. NPI 1811012669 is currently active in the NPPES registry. Verify at CMS.
Cognitive & Behavioral Psychologist · CLIFTON PARK, NY
Registration Details
- NPI Number
- 1811012669
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 20, 2007 (19.435261342561 yrs)
- Last Updated
- Jan 7, 2014
- Licenses
-
016988 (NY)016988 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
990 ROUTE 146CLIFTON PARK, NY, 120653617Browse NY providers · Browse ZIP 12065
- Phone
- 5185819525
- Primary Specialty
-
Cognitive & Behavioral Psychologist
103TB0200X
- Additional Specialty
- Cognitive & Behavioral 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.