C WESLEY JACKSON JR PHD INC

Clinical

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth — one that is broadly inclusive of severe psychopathology — and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

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Contact Information

C WESLEY JACKSON JR PHD INC

2980 WASHINGTON BLVD
CLEVELAND HEIGHTS, OH 44118-2450

Phone: 216-321-9355
Fax: 216-932-3341
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Clinical	103TC0700X	62	Psychologist, Clinical

Indicates primary specialty

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NPI Profile & details for C WESLEY JACKSON JR PHD INC

NPI Number 1720202500

LBN Legal business name C WESLEY JACKSON JR PHD INC

Authorized official C JACKSON - (PRESIDENT OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/12/2007

Last updated 07/30/2012 - About 14 years ago

Identifiers

MI	License #	000519
OH	License #	474
OH	Medicaid	0253309

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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C WESLEY JACKSON JR PHD INC

Contact Information

Specialty

Clinical

NPI Profile & details for C WESLEY JACKSON JR PHD INC

Reviews for C WESLEY JACKSON JR PHD INC