Ms Johanna B Jackson, SSP - Psychologist in York, SC

Ms Johanna B Jackson, SSP is a Psychologist - School based in York, South Carolina. Ms Johanna B Jackson is licensed to practice in South Carolina (license number 207262) and her current practice location is 18 Spruce Street, York, South Carolina. She can be reached at her office (for appointments etc.) via phone at (803) 684-1905.

NPI number for Ms Johanna B Jackson is 1386078509 and her current mailing address is Po Box 770, 1475 East Liberty Street, York, South Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1386078509.

Contact Information

Ms Johanna B Jackson, SSP
18 Spruce Street,
York, SC 29745-0770
(803) 684-1905
(803) 684-1907



Healthcare Provider's Profile

Full NameMs Johanna B Jackson
GenderFemale
SpecialityPsychologist - School
Location18 Spruce Street, York, South Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1386078509
  • Provider Enumeration Date: 08/23/2013
  • Last Update Date: 08/23/2013

Medical Identifiers

Medical identifiers for Ms Johanna B Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386078509NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TS0200XPsychologist - School 207262 (South Carolina)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. Ms Johanna B 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 AddressPractice Location Address
Ms Johanna B Jackson, SSP
Po Box 770, 1475 East Liberty Street,
York, SC 29745-0770

Ph: (803) 684-9916
Ms Johanna B Jackson, SSP
18 Spruce Street,
York, SC 29745-0770

Ph: (803) 684-1905

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› Verified 4 days ago


Psychologist in York, SC

Ms. Ruby Chandler Billings, RN
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 18 Spruce St, York, SC 29745
Phone: 803-684-1905    Fax: 803-684-1907
Mr. Bryan David Greeson, MA/CAS
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 18 Spruce Street, York, SC 29745
Phone: 803-684-1905    Fax: 803-684-1907
Ms. Jessica Merritt Daniel, ED. S
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 18 Spruce St, York, SC 29745
Phone: 803-684-1905    Fax: 803-684-1907
Mrs. Mary Gill Kennington, S.S.P.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 18 Spruce Street, York, SC 29745
Phone: 803-684-1905    Fax: 803-684-1907
Ms. Tammy Lily White, S.S.P., L.P.E.S.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 18 Spruce Street, York, SC 29745
Phone: 803-684-1905    Fax: 803-684-1907
Mrs. Sarah Elizabeth Dean, M.S., S.S.P.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 18 Spruce Street, York, SC 29745
Phone: 803-684-1905    Fax: 803-684-1907

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