| Mr David A Jackson, PHD | |
|
3535 S 31st St Ste 201, Grand Forks, ND 58201-3593 | |
| (701) 780-6821 | |
| (701) 780-1973 |
| Full Name | Mr David A Jackson |
|---|---|
| Gender | Male |
| Speciality | Psychologist |
| Location | 3535 S 31st St Ste 201, Grand Forks, North Dakota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801853775 | NPI | - | NPPES |
| 169230500 | Medicaid | MN | |
| 12028 | Medicaid | ND | |
| 65F61JA | Other | MN | MN BC/BS |
| 22269 | Other | ND | ND BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 359 (North Dakota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr David A Jackson, PHD 3535 S 31st St Ste 201, Grand Forks, ND 58201-3593 Ph: (701) 780-6821 | Mr David A Jackson, PHD 3535 S 31st St Ste 201, Grand Forks, ND 58201-3593 Ph: (701) 780-6821 |
Dr. Kara Brita Wettersten, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2100 S Columbia Rd, Suite 202, Grand Forks, ND 58201 Phone: 701-772-1588 Fax: 701-746-6077 | |
Ms. Leslie A Rowan, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 2100 South Columbia Road, Suite 202, Grand Forks, ND 58201 Phone: 701-772-1588 Fax: 701-746-6077 | |
Dr. Jonathan E Whalen, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2808 17th Ave S, Grand Forks, ND 58201 Phone: 701-746-8376 Fax: 701-746-9872 | |
Dr. Sue Ann Russell, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 2704 Belmont Rd, Grand Forks, ND 58201 Phone: 701-746-8737 Fax: 701-746-4763 | |
Dr. Kyle Patrick De Young, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2100 S Columbia Rd, Suite 202, Grand Forks, ND 58201 Phone: 701-772-1588 | |
Dr. Jeanine E. Kotschwar, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2100 S Columbia Rd, Suite 202, Grand Forks, ND 58201 Phone: 701-772-1588 Fax: 701-746-6077 | |
Elizabeth J Luger, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3535 S 31st St Ste 201, Grand Forks, ND 58201 Phone: 701-780-6821 Fax: 701-780-1973 |