Robert Leon Jackson, PHD - Psychologist in Springfield, IL

Robert Leon Jackson, PHD is a Psychologist - Clinical based in Springfield, Illinois. Robert Leon Jackson is licensed to practice in Illinois (license number ) and his current practice location is 1201 S Veterans Pkwy, Suite B, Springfield, Illinois. He can be reached at his office (for appointments etc.) via phone at (217) 793-2770.

NPI number for Robert Leon Jackson is 1104032952 and his current mailing address is 16 Longbow Ln, Springfield, Illinois. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104032952.

Contact Information

Robert Leon Jackson, PHD
1201 S Veterans Pkwy, Suite B,
Springfield, IL 62704-6321
(217) 793-2770
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameRobert Leon Jackson
GenderMale
SpecialityPsychologist - Clinical
Location1201 S Veterans Pkwy, Springfield, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1104032952
  • Provider Enumeration Date: 05/15/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Robert Leon Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104032952NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical (Illinois)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. Robert Leon 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
Robert Leon Jackson, PHD
16 Longbow Ln,
Springfield, IL 62704-5324

Ph: (217) 787-3143
Robert Leon Jackson, PHD
1201 S Veterans Pkwy, Suite B,
Springfield, IL 62704-6321

Ph: (217) 793-2770

Reviews and Comments


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