National Provider Identifier Database

OTIS JACKSON JR
Adult Development & Aging

A psychologist who specializes in geropsychology, which applies the knowledge and methods of psychology to understanding and helping older persons and their families to maintain well-being, overcome problems and achieve maximum potential during later life. Professional geropsychology appreciates the wide diversity among older adults, the complex ethical issues that can arise in geriatric practice and the importance of interdisciplinary models of care.


Contact Information

OTIS JACKSON JR
3311 KIMBALL AVE
MEMPHIS, TN38111-3846
Phone: 901-207-4662
Fax:
Website:
Specialty Taxonomy Code
* Adult Development & Aging 103TA0700X

* Indicates primary specialty

NPI Profile & details for OTIS JACKSON JR

NPI Number 1053710681
Credentials
Entity Individual
Enumeration date 08/20/2014
Last updated 08/20/2014 - About 12 years ago
Sole proprietor1 No
Identifiers
  • TN License #: 1000000015105
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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