| Lisa Jackson, PhD & Associates | |
|
1745 Route 9 Halfmoon NY 12065-2470 | |
| (518) 371-2210 | |
| Not Available |
| Full Name | Lisa Jackson, PhD & Associates |
|---|---|
| Speciality | Psychologist |
| Location | 1745 Route 9, Halfmoon, New York |
| Authorized Official Name and Position | Lisa Jackson (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 5182655264 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Jackson, PhD & Associates 1745 Route 9 Halfmoon NY 12065-2470 | Lisa Jackson, PhD & Associates 1745 Route 9 Halfmoon NY 12065-2470 Ph: (518) 371-2210 |
| NPI Number | 1760857056 |
|---|---|
| Provider Enumeration Date | 12/11/2015 |
| Last Update Date | 12/11/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760857056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (NU) | Primary |
| 1041C0700X | Social Worker - Clinical | (NU) | Secondary |
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