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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. COLLEEN ELIZABETH JACKSON, PHD

Active Sole Proprietor

DR. COLLEEN ELIZABETH JACKSON, PHD is a Clinical Neuropsychologist healthcare provider located in BOSTON, Massachusetts. NPI 1952765661 is currently active in the NPPES registry. Verify at CMS.

Clinical Neuropsychologist · BOSTON, MA

Registration Details

NPI Number
1952765661
Provider Type
Individual
Gender
Female
NPI Issued
Apr 8, 2016 (10.206476187443 yrs)
Last Updated
Aug 31, 2022
Licenses
PS01471 (RI)
PS01471 (RI)
PS01471 (RI)
11211 (MA)
Sole Proprietor
Yes

Practice Information

Address
185 DEVONSHIRE STREET
SUITE 902
BOSTON, MA, 021101402
Browse MA providers · Browse ZIP 02110
Phone
6173620588
Primary Specialty
Clinical Neuropsychologist
103G00000X
Additional Specialty
Psychologist
Additional Specialty
Clinical Psychologist
Additional Specialty
Clinical Neuropsychologist

Other Clinical Neuropsychologist Providers in BOSTON, MA

Name Credential NPI
DR. MICHELLE L. IMBER PH.D. 1346241932
DR. AARON PHILIP NELSON PH.D. 1124096920
DR. MAXINE H. KRENGEL PHD 1538121686
ROBERT A. STERN PHD 1861450546
MELISSA A MATSON PH.D. 1568411031
NANCY KAY MADIGAN PH.D. 1205876588
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.