Jackson, Walter L

Jackson, Walter L is an sole proprietor health care provider with primary practice located at 256 Eliot St , Natick MA 01760-5513. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Jackson, Walter L can be contacted via phone (203) 253-2302.

Contact Information

Primary practice address
256 Eliot St Natick MA 01760-5513
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2216 Massachusetts

Profile Details

NPI number 1184117814
LBN Legal business name Jackson, Walter L
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 7th, 2018
Last updated Jun 7th, 2018 - about 7 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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