Elizabeth Jackson

NPI 1013932276 - Psychologist - 103T00000X

NPI Details
NPI 1013932276
Gender Female
Enumeration Date 07/12/2006
Last Updated 06/06/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
101 W MUHAMMAD ALI BLVD
HUMAN RESOURCES
LOUISVILLE KY, 40202-1423, US
Phone (502) 589-8600
Fax (502) 589-8771
Business Location
9702 STONESTREET RD
STE. 110
LOUISVILLE KY, 40272-6808, US
Phone (502) 589-8600
Fax (502) 589-8771
Toxanomy
Taxonomy Code 103T00000X
License State Kentucky
License Number 1120
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According to our database, Elizabeth Jackson NPI is 1013932276, taxonomy code is 103T00000X and license number is 1120, license state is located at Kentucky. Elizabeth Jackson physically located at 101 W Muhammad Ali Blvd, Louisville KY, 40202-1423. NPI Number Elizabeth Jackson has the Individual type.

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1013932276 NPI number is provided on an as is basis without warranty of any kind. 1013932276 is maintained by the National Plan & Provider Enumeration System. The contents of Elizabeth Jackson are for informational purposes only.