| NPI | 1073124772 |
|---|---|
| Doing Business As | CRYSTAL A. JACKSON, PH.D. , LLP, LLC |
| Entity Type | Organization |
| Authorized Contact | CRYSTAL A JACKSON Owner/Psychologist 586-943-0563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Enumeration Date | 2020-08-14 |
| Last Update Date | 2020-10-19 |