Jackson, Colleen Elizabeth

Jackson, Colleen Elizabeth is an sole proprietor health care provider with primary practice located at 185 Devonshire Street Suite 902, Boston MA 02110-1402. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Jackson, Colleen Elizabeth can be contacted via phone (617) 362-0588.

Contact Information

Primary practice address
185 Devonshire Street Suite 902 Boston MA 02110-1402
Phone: (617) 362-0588
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PS01471 Rhode Island
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS01471 Rhode Island
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS01471 Rhode Island
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 11211 Massachusetts

Profile Details

NPI number 1952765661
LBN Legal business name Jackson, Colleen Elizabeth
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 8th, 2016
Last updated Aug 31st, 2022 - about 3 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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