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Contact Information

KRISTEN B JACKSON, PhD
480 MEDICAL CENTER DR
DODD HALL 2145
COLUMBUS, OH43210-1229
 Phone: 614-293-3830
 Fax: 614-293-4870
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation

103TR0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for KRISTEN B JACKSON · (Female)

NPI Number 1164760500
Status Active
Credentials PhD
Entity Individual
Enumeration date 01/18/2013
Last updated 01/18/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers Not Available
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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