Dr. Emily Brockett Jackson
Counseling Psychologist
1670 Clairmont Road Atlanta Va Medical Center
Decatur
, Georgia 30033
Dr. Emily Brockett Jackson
Counseling Psychologist
1670 Clairmont Road Atlanta Va Medical Center
Decatur
, Georgia 30033
(404) 429-0419
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About
Features
Specialties
- Counseling Psychologist
Languages spoken
- English
Location
First Address
- Dr. Emily Brockett Jackson
- 15 Cardinal Ct
- Stockbridge, GA
- Zip : 30281-1785
- Phone : (404) 429-0419
Second Address
- Dr. Emily Brockett Jackson
- 1670 Clairmont Road Atlanta Va Medical Center
- Decatur, GA
- Zip : 30033
- Phone : (404) 429-0419
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TC1900X | Counseling Psychologist | PSY003380 | GA |
National Provider Identifier
| NPI | 1003126962 |
|---|---|
| Provider Name | Dr. Emily Brockett Jackson |
| First Address | Stockbridge, GA 30281-1785 |
| Second Address | Decatur, GA 30033 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/10/2010 |
| Last Update Date | 13/10/2010 |
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.