DR. PSYD Stacey Marie Jackson, NPI 1588189310
Clinical Psychologist in Apo, AP, KR

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1588189310
NPI Entity Type Individual
Provider Name DR. PSYD Stacey Marie Jackson
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 51st Medical Group, Unit 2060, Apo Ap 96278-2060, Unit 2060, Apo, AP, KR
Provider Mailing Address 11 Nealy Blvd, Hampton, VA, US, 236652023
Gender Female
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

103TC0700X

Taxonomy Name Clinical Psychologist
Classification

Psychologist

Group

Behavioral Health & Social Service Providers

License No. 08100006337
License State VA
Description A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Other Name

Stacey Marie Ehrenberg
Former Name

Business Address

DR. PSYD Stacey Marie Jackson
51st Medical Group, Unit 2060, Apo Ap 96278-2060
Unit 2060

Apo, AP, KR

Phone: 315-784-8717

Mailing Address

DR. PSYD Stacey Marie Jackson
11 Nealy Blvd
Hampton, VA, US
ZIP 236652023

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

390200000X

Student, Health Care

Student in an Organized Health Care Education/Training Program

No

Other Providers in AP, KR

NPI Name Taxonomy Address

1265789697

MS. LCSW Daniella Lizette Shaw

Individual

Clinical Social Worker

51st Medical Group, Unit 2060

Apo, AP

1326623588

Hannah Wilken

Individual

Dentist

51st Medical Group

Unit 2060

Apo, AP

1659347268

DR. D.M.D./M.D. Thaddeus Hilliard Phillips III

Individual

Dentist

51 Medical Group/ Dental Squadron

Apo, AP

1346809522

DR. DO Gregory John Calvin Sue

Individual

Family Medicine Physician

Brian D. Allgood Army Community Hospital (bdaach)

Unit #15245, Bldg 3031

Apo, AP

1568950749

DR. DDS James Bryant Capers

Individual

Dentist

51 Mdg Unit 2060

Osan Ab, AP

1588189310

DR. PSYD Stacey Marie Jackson

Individual

Clinical Psychologist

51st Medical Group, Unit 2060, Apo Ap 96278-2060

Unit 2060

Apo, AP

1699039792

DDS John Minkyu Kim

Individual

Oral and Maxillofacial Surgery (Dentist)

618th Dental Co. Usag Humphreys, Carius Dental Clinic

Unit # 15660, Bldg # P3020

Apo, AP

1912127283

MR. LCSW Joel Wilbert Barber

Individual

Clinical Social Worker

18th Medcom

Attn Dccs Qm

Apo, AP

1285790949

MS Laurel S Fields

Individual

Oncology Pharmacist

18th Medcom

Attn Dccs Qm Credentials

Apo, AP

1225114325

MS. M.A.,, CDC II, LCMH Joan Inez Haugsness

Individual

Psc 303 Box 48

Attn Ccc

Apo, AP

1497832992

MR. LCSW Donald B. Guffie

Individual

Clinical Social Worker

D Co 168th Med Bn

Unit# 15021

Apo, AP

1518047208

DR. PHARMD Katie Y Kim

Individual

Pharmacotherapy Pharmacist

Ms. Susanne C. Shetrone

Credentials Coordinator

Apo, AP

1376632216

Russell Menard

Individual

Clinical Social Worker

18th Medcom

Attn: Dccs-qm (credentials)

Apo, AP

1992895080

MR. RN Jeffrey Clark

Individual

Emergency Registered Nurse

Hhc 121st Gen Hospital

Box #23 Unit 15244

Apo, AP

1407945579

DR. R.N. Jeanna Chun An

Individual

Infection Control Registered Nurse

121st Combat Support Hopital

Box 515

Apo, AP

1306935598

MS. R.N. Juanita Gauss

Individual

Community Health Registered Nurse

Dco 168th Med Bn

Unit 15021 Box A38

Apo, AP

1407956931

DR. DDS Edward Robinovitz

Individual

General Practice Dentistry

168th Med Det , Carius Dental Clinic

Unit 15652

Apo, AP

1427169200

PA-C Andy H. Song

Individual

Medical Physician Assistant

18th Medcom

Attn: Dccs-qm

Apo, AP

1326155961

Jana Lee

Individual

Pharmacist

121 General Hospital

Apo, AP

1629185798

MISS PA-C Pia Sioson Santos

Individual

Physician Assistant

Hhc Bstb

Unit 15046

Apo, AP

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