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Dayvionne Jackson
NPI 1265135354 · on the registry since 2023
Practice
- Address
- 36260 Lake Shore Blvd Apt 201
Eastlake, OH 44095 - Phone
- (440) 796-4482
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Health Service Psychologist
103TH0100X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-03-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio