Individual provider · Type 1 NPI
Ilana Jackson, PSYD
Clinical Psychologist · Baltimore, MD
Practice location
1 Sunny Meadow Ct, Apt 102
Baltimore, MD 21209-1255
Mailing address
405 Allegheny Ave
Towson, MD 21204-4256
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist Primary | 103TC0700X | 05059 (MD) |
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 1104198522
Ilana Jackson, PSYD's National Provider Identifier is 1104198522, issued on Jan 31, 2012. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Baltimore, MD. The record was last updated on Oct 10, 2016.