Jackson, Judith Temple
Jackson, Judith Temple is an individual health care provider with primary practice located at 125 Coulter Ave Floor 2, Ardmore PA 19003-2410. She recently has only one registered license in Behavioral Health & Social Service Providers / Prescribing (Medical), which is considered as her primary health care specialty. Jackson, Judith Temple can be contacted via phone (610) 642-4873.Contact Information
Primary practice address
125 Coulter Ave Floor 2
Ardmore PA 19003-2410
Phone: (610) 642-4873
Fax: (610) 642-4886
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Prescribing (Medical) | 103TP0016X | PS007219L | Pennsylvania |
Profile Details
| NPI number | 1497973911 |
|---|---|
| LBN Legal business name | Jackson, Judith Temple |
| Credentials | PSYCHOLOGIST |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 22nd, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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