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Contact Information

AARON BONNER JACKSON, PhD
9500 EUCLID AVE
U30
CLEVELAND, OH44195-0001
 Phone: 216-444-1025
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for AARON BONNER JACKSON · (Male)

NPI # 1699058156
Status Active
Credentials PhD
Entity Individual
Enumeration date 09/21/2011
Last updated 09/21/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • RI License # PS01244
Hospital affiliation(s)
  • CLEVELAND CLINIC - (Acute Care)
    9500 EUCLID AVENUE
    CLEVELAND, OH 44195
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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