Individual provider · Type 1 NPI

Robert Leon Jackson, PhD

Clinical Psychologist · Springfield, IL

NPI number 1104032952 Active

Practice location

1201 S Veterans Pkwy, Suite B
Springfield, IL 62704-6321

Mailing address

16 Longbow Ln
Springfield, IL 62704-5324

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XNone listed

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1104032952

Robert Leon Jackson, PhD's National Provider Identifier is 1104032952, issued on May 15, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Springfield, IL. The record was last updated on Jul 8, 2007.