Individual provider · Type 1 NPI

Eric D. Jackson, PhD

Clinical Psychologist · Orange, CT

NPI number 1184047698 Active

Practice location

35 Old Tavern Rd, Suite 103
Orange, CT 06477-3450

Mailing address

88 E Broadway Apt B
Milford, CT 06460-6128

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X003329 (CT)

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 1184047698

Eric D. Jackson, PhD's National Provider Identifier is 1184047698, issued on Feb 4, 2014. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Orange, CT. The record was last updated on Feb 4, 2014.