Individual provider · Type 1 NPI

Theopia Renee Jackson, PhD

Psychologist · Oakland, CA

NPI number 1295929420 Active

Practice location

747 52nd St
Oakland, CA 94609-1809

Call (510) 428-4893 Map

Mailing address

747 Fifty Second St.
Oakland, CA 94609-1809

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XPSY15699 (CA)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1295929420

Theopia Renee Jackson, PhD's National Provider Identifier is 1295929420, issued on Aug 30, 2007. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Oakland, CA. The record was last updated on Aug 30, 2007.