Jackson, Carrie Rae
Jackson, Carrie Rae is an individual health care provider with primary practice located at 10715 Babcock Blvd , Gibsonia PA 15044-8977. She recently has only one registered license in Behavioral Health & Social Service Providers / Cognitive & Behavioral, which is considered as her primary health care specialty. Jackson, Carrie Rae can be contacted via phone (412) 498-9128.Contact Information
Primary practice address
10715 Babcock Blvd
Gibsonia PA 15044-8977
Phone: (412) 498-9128
Fax: (724) 502-4510
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | 1-05-2589 | Pennsylvania |
Profile Details
NPI number | 1588935258 |
---|---|
LBN Legal business name | Jackson, Carrie Rae |
Credentials | MS, BCBA |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 26th, 2012 |
Last updated | Jan 26th, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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