Organization · Type 2 NPI

C Wesley Jackson JR PHD Inc

Clinical Psychologist · Cleveland Heights, OH

NPI number 1720202500 Active

Practice location

2980 Washington Blvd
Cleveland Heights, OH 44118-2450

Fax (216) 932-3341

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X474 (OH)
Clinical Psychologist 103TC0700X000519 (MI)

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 1720202500

C Wesley Jackson JR PHD Inc's National Provider Identifier is 1720202500, issued on Apr 12, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Cleveland Heights, OH. The record was last updated on Jul 30, 2012.