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Contact Information

MAHKADA T JACKSON, PHD
1420 RIDGEBEND WAY SE
MABLETON, GA30126
 Phone: 646-731-4785
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MAHKADA T JACKSON · (Female)

NPI Number 1790363588
Status Active
Credentials PHD
Entity Individual
Enumeration date 04/01/2021
Last updated 04/01/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • GA License # PSY004135
Hospital affiliation(s) Not Available
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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