Jackson, Kristin Mary

Jackson, Kristin Mary is an individual health care provider with primary practice located at 410 N Prince St , Lancaster PA 17603-3010. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Jackson, Kristin Mary can be contacted via phone (717) 560-7917.

Contact Information

Primary practice address
410 N Prince St Lancaster PA 17603-3010
Phone: (717) 560-7917
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X BH002643 Pennsylvania
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS018008 Pennsylvania

Profile Details

NPI number 1104255116
LBN Legal business name Jackson, Kristin Mary
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2013
Last updated Feb 9th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers