IndividualActive
Bridgette Jackson
NPI 1497291637 · Health Service Psychologist · Evanston, IL
Provider details
- NPI number
- 1497291637
- Entity type
- Individual
- Primary specialty
- Health Service PsychologistBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
355 Ridge Ave
Evanston, IL 60202-3328
Phone: (847) 316-2440
Fax: (847) 316-2369
Approximate (ZIP-level) locationGet directions
Mailing address
355 Ridge Ave
Evanston, IL 60202-3328
Registry dates
- Enumerated
- 2017-01-11
- Last updated
- 2017-01-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.