DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: TONYA SUE JACKSON PH.D.

MEDICARE: TONYA SUE JACKSON PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TM1800XIntellectual & Developmental Disabilities Psychologist1072LA

General Provider Information

NPI Number : 1255657243
Entity Type Code : Individual
Provider Name (Legal Business Name) : TONYA SUE JACKSON PH.D.
Provider Business Mailing Address
First Line : 3770 MONROE HIGHWAY STE C
Second Line : PMB 170
City : PINEVILLE
State : LA
Zip : 71360-4170
Country : US
Telephone Number : 318-880-3044
Fax Number :
Provider Business Practice Location Address
First Line : 5411 COLISEUM BLVD
Second Line :
City : ALEXANDRIA
State : LA
Zip : 71303-3729
Country : US
Telephone Number : 318-484-2347
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2010
Last Update Date : 12/14/2021

Similar Medicare Providers

1598503393 — ABBIE LEE MCNETT LCSW
Practice Location Address:
5411 COLISEUM BLVD
ALEXANDRIA, LA
71303-3729
Practice Phone: 318-484-6850
Practice Fax:
1033543756 — CENTRAL LA HUMAN SERVICES DISTRICT
Practice Location Address:
5411 COLISEUM BLVD
ALEXANDRIA, LA
71303-3729
Practice Phone: 318-484-6850
Practice Fax: 318-484-6844
1215300587 — CRYSTAL HILL
Practice Location Address:
5411 COLISEUM BLVD
ALEXANDRIA, LA
71303-3729
Practice Phone: 318-484-6850
Practice Fax:
1679928634 — KRISTINA BARCENAS LMSW
Practice Location Address:
5411 COLISEUM BLVD
ALEXANDRIA, LA
71303-3729
Practice Phone: 318-484-6820
Practice Fax:
1104365840 — NAOMI GATES LMSW
Practice Location Address:
5411 COLISEUM BLVD
ALEXANDRIA, LA
71303-3729
Practice Phone: 318-794-4552
Practice Fax: 318-484-6232
1578071197 — MS. EMILY RYAN FRIIS LCSW
Practice Location Address:
5411 COLISEUM BLVD
ALEXANDRIA, LA
71303-3729
Practice Phone: 318-484-6850
Practice Fax:

Directions to “ TONYA SUE JACKSON PH.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.