Dr. David Jackson
Clinical Psychologist
6 Parkway North Blvd
Deerfield
, Illinois 60015-2522
Dr. David Jackson
Clinical Psychologist
6 Parkway North Blvd
Deerfield
, Illinois 60015-2522
(541) 229-1293
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About
Features
Specialties
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Dr. David Jackson
- 6 Parkway North Blvd
- Deerfield, IL
- Zip : 60015-2522
- Fax : (541) 229-1293
- Phone : (480) 466-3423
Second Address
- Dr. David Jackson
- 6 Parkway North Blvd
- Deerfield, IL
- Zip : 60015-2522
- Fax : (541) 229-1293
- Phone : (480) 466-3423
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | ||
| Y | 103TC0700X | Clinical Psychologist |
National Provider Identifier
| NPI | 1003456708 |
|---|---|
| Provider Name | Dr. David Jackson |
| First Address | Deerfield, IL 60015-2522 |
| Second Address | Deerfield, IL 60015-2522 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/01/2020 |
| Last Update Date | 10/01/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.