Individual provider · Type 1 NPI

Bridgette Jackson

Health Service Psychologist · Evanston, IL

NPI number 1497291637 Active

Practice location

355 Ridge Ave
Evanston, IL 60202-3328

Call (847) 316-2440 Map

Fax (847) 316-2369

Specialties and licenses

TaxonomyCodeLicense
Health Service Psychologist Primary 103TH0100XNone listed

Health Service Psychologist: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).

225 other providers at this address

About NPI 1497291637

Bridgette Jackson's National Provider Identifier is 1497291637, issued on Jan 11, 2017. The primary taxonomy on file is Health Service Psychologist (103TH0100X), and the practice location is in Evanston, IL. The record was last updated on Jan 11, 2017.