Dr Jared A Jackson, PHD in Waialua, HI - Psychologist

Dr Jared A Jackson, PHD is a Psychologist based in Waialua, Hawaii. Dr Jared A Jackson is licensed to practice in Alabama (license number 1690) and his current practice location is 68-121 Au St, 306, Waialua, Hawaii. He can be reached at his office (for appointments etc.) via phone at (909) 810-7332.

NPI number for Dr Jared A Jackson is 1902184732 and his current mailing address is 68-121 Au St, 306, Waialua, Hawaii. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1902184732.

Contact Information

	Dr Jared A Jackson, PHD
	68-121 Au St, 306, Waialua, HI 96791-9453
	(909) 810-7332
	Not Available

Healthcare Provider's Profile

Full Name	Dr Jared A Jackson
Gender	Male
Speciality	Psychologist
Location	68-121 Au St, Waialua, Hawaii
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1902184732
Provider Enumeration Date: 07/27/2011
Last Update Date: 08/08/2016

Medical Identifiers

Medical identifiers for Dr Jared A Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902184732	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	1690 (Alabama)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jared A Jackson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Jared A Jackson, PHD 68-121 Au St, 306, Waialua, HI 96791-9453 Ph: (909) 810-7332	Dr Jared A Jackson, PHD 68-121 Au St, 306, Waialua, HI 96791-9453 Ph: (909) 810-7332

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Dr Jared A Jackson, PHD - Psychologist in Waialua, HI