Peter C. Jackson, Psyd Consulting, Sc is a health care provider in Madison, WI. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location||700 Ray O Vac Dr, Suite 220, Madison, WI 53711-2479, US|
|Practice Location Phone||608-276-9191|
|Practice Location Fax||608-276-9144|
|Legal Business Name||PETER C. JACKSON, PSYD CONSULTING, SC|
|Enumeration Date ?||Apr 8, 2016|
|Last Update Date ?||Aug 3, 2016|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Psychologist||Behavioral Health & Social Service Providers||Clinical||180557||Wisconsin|
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Peter C. Jackson, Psyd Consulting, Sc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official||Peter Jackson|
|Authorized Official Title/Position||PRESIDENT|
|Authorized Official Phone Number||608-318-3050|