Dr. Susan M. Jackson-Walker
Clinical Child & Adolescent Psychologist Developmental - Behavioral Pediatrician
A.i. Dupont Hospital For Children 1600 Rockland Road
Wilmington
, Delaware 19803-3607
Dr. Susan M. Jackson-Walker
Clinical Child & Adolescent Psychologist Developmental - Behavioral Pediatrician
A.i. Dupont Hospital For Children 1600 Rockland Road
Wilmington
, Delaware 19803-3607
(904) 288-5890
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About
Features
Specialties
- Clinical Child & Adolescent Psychologist
- Developmental - Behavioral Pediatrician
Languages spoken
- English
Location
First Address
- Dr. Susan M. Jackson-Walker
- Nemours Childrens Clinic P.o. Box 404112
- Atlanta, GA
- Zip : 30384-0001
- Fax : (904) 288-5890
- Phone : (904) 390-3610
Second Address
- Dr. Susan M. Jackson-Walker
- A.i. Dupont Hospital For Children 1600 Rockland Road
- Wilmington, DE
- Zip : 19803-3607
- Fax : (302) 651-4945
- Phone : (302) 651-4000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TC2200X | Clinical Child & Adolescent Psychologist | B10000648 | DE |
| N | 2080P0006X | Developmental - Behavioral Pediatrician | B10000648 | DE |
National Provider Identifier
| NPI | 1124110911 |
|---|---|
| Provider Name | Dr. Susan M. Jackson-Walker |
| First Address | Atlanta, GA 30384-0001 |
| Second Address | Wilmington, DE 19803-3607 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/09/2006 |
| Last Update Date | 16/05/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1913085 | (05) | PA |
| 5119049 | (05) | MD |
| 8919704 | (05) | NJ |
| P71213 | (02) |
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.