Mrs. Angela Yvette Jackson
Rehabilitation Psychologist
185 N Pearl Lake Cswy #106
Altamonte Springs
, Florida 32714-2956
Mrs. Angela Yvette Jackson
Rehabilitation Psychologist
185 N Pearl Lake Cswy #106
Altamonte Springs
, Florida 32714-2956
(203) 360-4854
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About
Features
Specialties
- Rehabilitation Psychologist
Languages spoken
- English
Location
First Address
- Mrs. Angela Yvette Jackson
- 185 N Pearl Lake Cswy #106
- Altamonte Springs, FL
- Zip : 32714-2956
- Phone : (203) 360-4854
Second Address
- Mrs. Angela Yvette Jackson
- 185 N Pearl Lake Cswy #106
- Altamonte Springs, FL
- Zip : 32714-2956
- Phone : (203) 360-4854
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TR0400X | Rehabilitation Psychologist |
National Provider Identifier
| NPI | 1215329032 |
|---|---|
| Provider Name | Mrs. Angela Yvette Jackson |
| First Address | Altamonte Springs, FL 32714-2956 |
| Second Address | Altamonte Springs, FL 32714-2956 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/03/2015 |
| Last Update Date | 03/03/2015 |
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.