Individual provider · Type 1 NPI
Sharon S. Jacksi, PhD
Intellectual & Developmental Disabilities Psychologist · Grand Junction, CO
NPI number
1083908180
Active
Practice location
486 Tiara Dr
Grand Junction, CO 81507-8717
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 769 (CO) |
| Clinical Psychologist | 103TC0700X | 769 (CO) |
| Intellectual & Developmental Disabilities Psychologist Primary | 103TM1800X | 769 (CO) |
Intellectual & Developmental Disabilities Psychologist: Definition to come...
About NPI 1083908180
Sharon S. Jacksi, PhD's National Provider Identifier is 1083908180, issued on Jun 6, 2011. The primary taxonomy on file is Intellectual & Developmental Disabilities Psychologist (103TM1800X), and the practice location is in Grand Junction, CO. The record was last updated on Jun 6, 2011.