Individual provider · Type 1 NPI
Judith Temple Jackson, PSYCHOLOGIST
Prescribing (Medical) Psychologist · Ardmore, PA
Practice location
125 Coulter Ave, Floor 2
Ardmore, PA 19003-2410
Fax (610) 642-4886
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prescribing (Medical) Psychologist Primary | 103TP0016X | PS007219L (PA) |
Prescribing (Medical) Psychologist: A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or…
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- James J. Coupe Iii, PSY.D., MBAClinical Psychologist Ardmore, PA NPI 1255537809
- Moss Alan Jackson, PhDClinical Psychologist Ardmore, PA NPI 1083811012
- Susan Leigh Metrick, PSY.D.Psychologist Ardmore, PA NPI 1831394600
- Susan Spencer Morrison, MSS, LCSWClinical Social Worker Ardmore, PA NPI 1669672820
- Talia Eisenstein, PSY.D.Clinical Psychologist Ardmore, PA NPI 1912129651
About NPI 1497973911
Judith Temple Jackson, PSYCHOLOGIST's National Provider Identifier is 1497973911, issued on Apr 22, 2007. The primary taxonomy on file is Prescribing (Medical) Psychologist (103TP0016X), and the practice location is in Ardmore, PA. The record was last updated on Jul 8, 2007.