NPI 1073488862

Tatiana Y Jackson

Practitioner Drama Therapist Bridgeport, CT

Practice location

Address: 401 Dover St, Bridgeport, CT 06610-2277
Phone: (929) 669-7281

Registered specialties

Drama Therapist Primary

Behavioral Health & Social Service Providers Taxonomy 101200000X

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Registry record

NPI: 1073488862
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Oct 2025
Record last updated: 9 Oct 2025

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.