Search › New York › 103TC0700X
Dana Jackson, PSYD
NPI 1720245194 · on the registry since 2008 · sole proprietor
Practice
- Address
- 7510 91st Ave
Woodhaven, NY 11421 - Phone
- (718) 298-2671
- Fax
- (718) 296-4660
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-08-19
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 New York