Carol A Jackson, - Psychologist in Taos, NM

Carol A Jackson, is a Psychologist - School based in Taos, New Mexico. Carol A Jackson is licensed to practice in New Mexico (license number 090906) and her current practice location is 110 Paseo Del Canon W, Taos, New Mexico. She can be reached at her office (for appointments etc.) via phone at (575) 779-6138.

NPI number for Carol A Jackson is 1376826693 and her current mailing address is 110 Paseo Del Canon W, Taos, New Mexico. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376826693.

Contact Information

Carol A Jackson,
110 Paseo Del Canon W,
Taos, NM 87571-6743
(575) 779-6138
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameCarol A Jackson
GenderFemale
SpecialityPsychologist - School
Location110 Paseo Del Canon W, Taos, New Mexico
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1376826693
  • Provider Enumeration Date: 09/22/2011
  • Last Update Date: 09/22/2011

Medical Identifiers

Medical identifiers for Carol A Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376826693NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TS0200XPsychologist - School 090906 (New Mexico)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carol A Jackson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Carol A Jackson,
110 Paseo Del Canon W,
Taos, NM 87571-6743

Ph: (575) 779-6138
Carol A Jackson,
110 Paseo Del Canon W,
Taos, NM 87571-6743

Ph: (575) 779-6138

Reviews and Comments


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