Dr Edward L Jackson, PSYD PLLC | |
2900 Welch Rd, Commerce Twp, MI 48390-1562 | |
(248) 767-7927 | |
Not Available |
Full Name | Dr Edward L Jackson |
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Gender | Male |
Speciality | Psychologist - Clinical |
Location | 2900 Welch Rd, Commerce Twp, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043606213 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 6301016271 (Michigan) | Primary |
Entity Name | Dr Edward L Jackson Psyd Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669156998 PECOS PAC ID: 2860837580 Enrollment ID: O20240304001567 |
Mailing Address | Practice Location Address |
---|---|
Dr Edward L Jackson, PSYD PLLC 2900 Welch Rd, Commerce Twp, MI 48390-1562 Ph: (248) 767-7927 | Dr Edward L Jackson, PSYD PLLC 2900 Welch Rd, Commerce Twp, MI 48390-1562 Ph: (248) 767-7927 |
Anne E Campbell, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8898 Commerce Rd, Suite 3a, Commerce Twp, MI 48382 Phone: 248-363-2850 Fax: 800-380-6809 | |
Linda F Fershtman, S.PSY.S, L.L.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8898 Commerce Rd, Suite 3a, Commerce Twp, MI 48382 Phone: 248-363-2850 Fax: 800-380-6809 | |
Robert J Elwell, LLP Psychologist Medicare: Medicare Enrolled Practice Location: 210 Bradley St, Commerce Twp, MI 48382 Phone: 248-302-3104 | |
Kelly Zetting, NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 320 Charlevoix St, Commerce Twp, MI 48382 Phone: 248-403-6360 |