| Jackson Psychological Services, Llc | |
|
97 Main St Lancaster NH 03584-3063 | |
| (423) 650-1851 | |
| Not Available |
| Full Name | Jackson Psychological Services, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 97 Main St, Lancaster, New Hampshire |
| Authorized Official Name and Position | Trina Bothe Jackson (CLINICAL PSYCHOLOGIST, OWNER) |
| Authorized Official Contact | 4236501851 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson Psychological Services, Llc 127 Elm St Lancaster NH 03584-3107 Ph: (423) 650-1851 | Jackson Psychological Services, Llc 97 Main St Lancaster NH 03584-3063 Ph: (423) 650-1851 |
| NPI Number | 1396081295 |
|---|---|
| Provider Enumeration Date | 12/20/2012 |
| Last Update Date | 12/20/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396081295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1268 (New Hampshire) | Primary |
Weeks Medical Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 173 Middle St, Lancaster, NH 03584 Phone: 603-788-2521 Fax: 603-788-5092 |