TALIA AMO JACKSON

MINNEAPOLIS, MN
NPI1730260902
Former NameTALIA AMO RUDOLPH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: MN  LP4738)
Enumeration Date2006-10-17
Last Update Date2007-07-08
Business Address
Dr. TALIA AMO JACKSON Psy.D., LP
2600 WAYZATA BLVD
MINNEAPOLIS, MN 55405-2123
Phone number: 612-709-7153
Mailing Address
Dr. TALIA AMO JACKSON Psy.D., LP
424 PENN AVE S
MINNEAPOLIS, MN 55405-2059
Phone number: 612-709-7153