ALYCE JACKSON

PHILADELPHIA, PA
NPI1639372089
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: PA  PS-006130-L)
Enumeration Date2007-06-05
Last Update Date2007-07-08
Business Address
Dr. ALYCE JACKSON Ph.D.
1616 WALNUT ST SUITE 910
PHILADELPHIA, PA 19103-5313
Phone number: 215-922-2826
Mailing Address
Dr. ALYCE JACKSON Ph.D.
922 PINE ST 2-R
PHILADELPHIA, PA 19107-6100
Phone number: 215-922-2826
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