Jackson, Rebekah

Jackson, Rebekah is an individual health care provider with primary practice located at 446A Blake St Suite 200, New Haven CT 06515-1286. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Jackson, Rebekah can be contacted via phone (203) 387-9400.

Contact Information

Primary practice address
446A Blake St Suite 200 New Haven CT 06515-1286
Phone: (203) 387-9400
Fax: (888) 772-2160
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Psychologist 103T00000X 003182 Connecticut

Profile Details

NPI number 1245523448
LBN Legal business name Jackson, Rebekah
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2011
Last updated Jul 2nd, 2012 - about 14 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.

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