Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PETER C. JACKSON, PSYD
Active Sole ProprietorPETER C. JACKSON, PSYD is a Clinical Psychologist healthcare provider located in MADISON, Wisconsin. NPI 1942365994 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · MADISON, WI
Registration Details
- NPI Number
- 1942365994
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 27, 2006 (19.665011893012 yrs)
- Last Updated
- Jan 22, 2019
- License
-
1805-057 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
700 RAY O VAC DRSUITE 220MADISON, WI, 537112479Browse WI providers · Browse ZIP 53711
- Phone
- 6082769191
- Fax
- 6082769144
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in MADISON, WI
| Name | Credential | NPI |
|---|---|---|
| DR. GORDON I HERZ | PHD | 1053314344 |
| DR. RHONDA REINHOLTZ | PHD | 1720089667 |
| DR. JOSEPH J COLLETTI | PHD | 1164423000 |
| DR. DAVID E. LACOCQUE | PSY.D. | 1134100068 |
| ROBERT A MCGRATH | PSYD | 1346226461 |
| BRENDA SUE KEPLER LESKE | PSY.D. | 1154384006 |
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.