Search › California › 103T00000X
Shelli Jackson, PHD
NPI 1326492026 · on the registry since 2016
Practice
- Address
- 979 Woodland Pkwy Ste 101-48
San Marcos, CA 92069 - Phone
- (760) 505-6665
- Organisation at this address
- Davoudi Dds Inc.
Group Psychotherapy ServicesInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Also registered as
- 103TC0700X
103TB0200X
103TH0004X
103TP2701X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-09-27
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 California