IndividualActive
Bradley Jackson, PHD
NPI 1699217778 · Clinical Child & Adolescent Psychologist · Aurora, CO
Provider details
- NPI number
- 1699217778
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2536 (CO)
Practice location
13123 E 16th Ave # 245
Aurora, CO 80045-7106
Phone: (720) 777-6662
Fax: (720) 777-7270
Mailing address
13123 E 16th Ave # 245
Aurora, CO 80045-7106
Registry dates
- Enumerated
- 2016-11-07
- Last updated
- 2016-11-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.