Dr. Denis Ian Jackson, Ph.D.
Psychologist in Wauwatosa, WI. Individual provider (NPI-1).
NPI number1013000561
StatusActive
Last updated in NPPESNov 12, 2008
Details
- NPI
- 1013000561
- Entity type
- Individual (NPI-1)
- Name
- Dr. Denis Ian Jackson
- Credential
- Ph.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 2, 2006
- Last updated
- Nov 12, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 1965 | WI | Yes |
Practice location
11931 W Bluemound RdWauwatosa, WI 53226-3905
Phone 414-276-8669 · Fax 414-276-1266
Mailing address
11931 W Bluemound RdWauwatosa, WI 53226-3905
Phone 414-276-8669 · Fax 414-276-1266
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