IndividualActive
David Jackson, PHD MSCP
NPI 1053464339 · Prescribing (Medical) Psychologist · New Orleans, LA
Provider details
- NPI number
- 1053464339
- Entity type
- Individual
- Primary specialty
- Prescribing (Medical) PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD MSCP
- Sex
- Male
- Sole proprietor
- Yes
- License
- 694MP (LA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
200 Henry Clay Ave
New Orleans, LA 70118-5911
Phone: (504) 896-7272
Approximate (ZIP-level) locationGet directions
Mailing address
200 Henry Clay Ave
New Orleans, LA 70118-5720
Registry dates
- Enumerated
- 2007-01-19
- Last updated
- 2008-05-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.