Search › Connecticut › 103TC0700X
Shannon Jackson, PSY.D
NPI 1417281064 · on the registry since 2009 · sole proprietor
Practice
- Address
- 150 North Main St
Echn Health Services
Manchester, CT 06040 - Phone
- (860) 647-6832
- Fax
- (860) 647-6831
- Organisation at this address
- First Choice Health Centers, Inc.
First Choice Health Centers, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 35
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-09-30
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 Connecticut