IndividualActive
Tatiana Jackson
NPI 1073488862 · Drama Therapist · Bridgeport, CT
Provider details
- NPI number
- 1073488862
- Entity type
- Individual
- Primary specialty
- Drama TherapistBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
401 Dover St
Bridgeport, CT 06610-2277
Phone: (929) 669-7281
Approximate (ZIP-level) locationGet directions
Mailing address
401 Dover St
Bridgeport, CT 06610-2277
Registry dates
- Enumerated
- 2025-10-09
- Last updated
- 2025-10-09
- Certified
- 2025-10-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.