Individual provider · Type 1 NPI

Maudette M. Jackson

Clinical Psychologist · Chicago, IL

NPI number 1174848352 Active

Practice location

500 N Dearborn St, Suite 1012
Chicago, IL 60654-3300

Mailing address

7725 S Crandon Ave
Chicago, IL 60649-4118

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X071006174 (IL)

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 1174848352

Maudette M. Jackson's National Provider Identifier is 1174848352, issued on Mar 31, 2010. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Chicago, IL. The record was last updated on Mar 31, 2010.