NPI 1013000561

Denis Ian Jackson, PHD

Practitioner Psychologist Wauwatosa, WI

Practice location

Address: 11931 W Bluemound Rd, Wauwatosa, WI 53226-3905
Phone: (414) 276-8669
Fax: (414) 276-1266

Registered specialties

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 1965 (WI)

Other Psychologist providers in Wisconsin →

Registry record

NPI: 1013000561
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Oct 2006
Record last updated: 12 Nov 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.