Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PROF. RICKEY T. JACKSON, PSY. S.
Active Sole ProprietorPROF. RICKEY T. JACKSON, PSY. S. is a Child, Clinical Psychologist healthcare provider located in TAYLOR, Michigan. NPI 1962428748 is currently active in the NPPES registry. Verify at CMS.
Child, Clinical Psychologist · TAYLOR, MI
Registration Details
- NPI Number
- 1962428748
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 14, 2006 (20.126440099321 yrs)
- Last Updated
- Sep 11, 2025
- License
-
6301008412 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
20600 EUREKA RDSUITE 819TAYLOR, MI, 481805343Browse MI providers · Browse ZIP 48180
- Phone
- 7342858282
- Primary Specialty
-
Child, Clinical Psychologist
103TC2200X
- Additional Specialty
- Psychologist
Other Child, Clinical Psychologist Providers in TAYLOR, MI
| Name | Credential | NPI |
|---|---|---|
| CARMEN KUEBLER | LLP | 1578508826 |
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.