-- ERIC D JACKSON -- PhD
Individual Provider (NPI-1)
Active
Psychologist, Clinical
Provider Information
- NPI Number
1184047698- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PhD
- Status
- Active
Contact & Location
- Address
- 35 OLD TAVERN RD SUITE 103, ORANGE, CT, 064773450
- Phone
- (203) 701-9666
Specialties & Taxonomies
Psychologist, Clinical
Primary License: CT #003329