Individual provider · Type 1 NPI

Jared A. Jackson, PhD

Psychologist · Fort Campbell, KY

NPI number 1902184732 Active

Practice location

6102 Tennessee Ave
Fort Campbell, KY 42223-5940

Call (909) 810-7332 Map

Mailing address

Bldg 6102 Tennessee
Fort Campbell, KY 42223

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X1690 (AL)

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 1902184732

Jared A. Jackson, PhD's National Provider Identifier is 1902184732, issued on Jul 27, 2011. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Fort Campbell, KY. The record was last updated on May 8, 2025.