IndividualActive
Brian Jackson, PH.D.
NPI 1891887758 · Psychologist · Dover, NH
Provider details
- NPI number
- 1891887758
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 778 (NH)
Practice location
4 Back River Rd
Dover, NH 03820-4404
Phone: (603) 742-1373
Fax: (603) 742-1373
Mailing address
38 Garden Ln
Durham, NH 03824-3040
Registry dates
- Enumerated
- 2006-09-29
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.