Dr DENIS I JACKSON CP is a male medical professional, specializing in Psychologist, Clinical. He graduated in 1993.
11931 W BLUE MOUND RD
WAUWATOSA
WI
532263967
Tel: 4142768669
| Npi | 1013000561 |
| Pac Id | 8527962323 |
| Professional Enrollment Id | I20040405000204 |
| Last Name | JACKSON |
| First Name | DENIS |
| Middle Name | I |
| Suffix | |
| Gender | M |
| Credential | CP |
| Medical School Name | OTHER |
| Graduation Year | 1993 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | |
| Group Practice Pac Id | |
| Number Of Group Practice Members | |
| Line 1 Street Address | 11931 W BLUE MOUND RD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | WAUWATOSA |
| State | WI |
| Zip Code | 532263967 |
| Phone Number | 4142768669 |
| Hospital Affiliation Ccn 1 | 520045 |
| Hospital Affiliation Lbn 1 | THEDA CLARK MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | |
| Hospital Affiliation Lbn 2 | |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
Leave your comments, questions and feedback on this listing below. You can also correct any listing errors or omissions.