Organization · Type 2 NPI

Crystal A. Jackson, Ph.d. , Llp, LLC

Psychologist · Detroit, MI

NPI number 1073124772 Active

Practice location

3011 W Grand Blvd
Detroit, MI 48202-3096

Call (586) 943-0563 Map

Mailing address

3011 W Grand Blvd Ste 418
Detroit, MI 48202-3011

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XNone listed

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1073124772

Crystal A. Jackson, Ph.d. , Llp, LLC's National Provider Identifier is 1073124772, issued on Aug 14, 2020. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Detroit, MI. The record was last updated on Jan 6, 2026.