Jackson, Lisa

Jackson, Lisa is an sole proprietor health care provider with primary practice located at 990 Route 146 , Clifton Park NY 12065-3617. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Cognitive & Behavioral. Behavioral Health & Social Service Providers / Cognitive & Behavioral is her primary health care specialty. Jackson, Lisa can be contacted via phone (518) 581-9525.

Contact Information

Primary practice address
990 Route 146 Clifton Park NY 12065-3617
Phone: (518) 581-9525
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 016988 New York
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 016988 New York

Profile Details

NPI number 1811012669
LBN Legal business name Jackson, Lisa
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 20th, 2007
Last updated Jan 7th, 2014 - about 11 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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