Jackson, Tammy Lynn
Jackson, Tammy Lynn is an sole proprietor health care provider with primary practice located at 1014 Sun Meadow Ct , College Station TX 77845-7291. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Adult Development & Aging. Behavioral Health & Social Service Providers / Adult Development & Aging is her primary health care specialty. Jackson, Tammy Lynn can be contacted via phone (979) 217-1311.Contact Information
Primary practice address
1014 Sun Meadow Ct
College Station TX 77845-7291
Phone: (979) 217-1311
Fax: (855) 604-0969
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | 31418 | Texas |
Behavioral Health & Social Service Providers / Counseling | 103TC1900X | ||
Behavioral Health & Social Service Providers / Adult Development & Aging | 103TA0700X | 31418 | Texas |
Profile Details
NPI number | 1619958758 |
---|---|
LBN Legal business name | Jackson, Tammy Lynn |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 7th, 2005 |
Last updated | Aug 25th, 2023 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1619958758 | NPPES |
Texas | MEDICAID | 158249604 |
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