1427020957 Wallace J Jackmon, PHD
Clinical Psychologist
Active
Basic Information
- Full Name
- Wallace J Jackmon, PHD
- Gender
- Male
- Enumeration Date
- February 7, 2006
- Last Update
- October 11, 2018
Practice Location
- Address
- 4400 W 69TH ST
STE 1500
SIOUX FALLS, SD 571088170 - Phone
- (605) 322-5700
- Fax
- (605) 322-5704
Mailing Address
- Address
- PO BOX 86370
SIOUX FALLS, SD 571186370 - Phone
- (605) 322-7510
- Fax
- (605) 322-6475
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Clinical Psychologist Clinical | 103TC0700X | Psychologist | 477 | SD | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12200 | 05 | ND | N/A |
| 46022474352 | 05 | NE | N/A |
| 854000 | 01 | SD | ARAZ/ AMERICA'S PPO |
| 944611700 | 05 | MN | N/A |
| 0040537 | 01 | SD | BLUE CROSS |
| 140M8JA | 01 | MN | CC SYSTEMS/ BLUE PLUS |
| 142415 | 01 | MN | UCARE |
| 412991020844 | 01 | SD | PREFERRED ONE |
| 6552790 | 05 | SD | N/A |
| 6570753 | 05 | SD | N/A |
| 800013808 | 01 | SD | RR MEDICARE |
| HP37115 | 01 | SD | HEALTHPARTNERS |
| 15096 | 01 | SD | MIDLANDS CHOICE |
| 20814 | 01 | SD | SANFORD HEALTH PLAN |
| 3989442 | 05 | IA | N/A |
| 57108C003 | 01 | SD | WPS TRICARE |
| 9205351 | 01 | SD | DAKOTACARE |
| 040121002 | 01 | MN | PRIMEWEST |
Frequently Asked Questions
What is Wallace J Jackmon, PHD's NPI number?
Wallace J Jackmon, PHD's NPI number is 1427020957.
Which doctor has NPI number 1427020957?
The doctor with NPI number 1427020957 is Wallace J Jackmon, PHD.
What is Wallace J Jackmon, PHD's practice address?
Wallace J Jackmon, PHD's practice address is 4400 W 69TH ST, STE 1500, SIOUX FALLS, SD, 571088170.
Which doctor practices at 4400 W 69TH ST, STE 1500, SIOUX FALLS, SD, 571088170?
Wallace J Jackmon, PHD practices at 4400 W 69TH ST, STE 1500, SIOUX FALLS, SD, 571088170.
What is Wallace J Jackmon, PHD's mailing address?
Wallace J Jackmon, PHD's mailing address is PO BOX 86370, SIOUX FALLS, SD, 571186370.
What is Wallace J Jackmon, PHD's phone number?
Wallace J Jackmon, PHD's phone number is (605) 322-5700.
Who is (605) 322-5700?
(605) 322-5700 is the phone number for Wallace J Jackmon, PHD.
What is Wallace J Jackmon, PHD's specialty?
Wallace J Jackmon, PHD's specialty is Clinical Psychologist.
What type of doctor is Wallace J Jackmon, PHD?
Wallace J Jackmon, PHD is a Clinical Psychologist.
Is Wallace J Jackmon, PHD a Clinical?
Yes, Wallace J Jackmon, PHD is a Clinical.
Is Wallace J Jackmon, PHD still practicing?
Yes, Wallace J Jackmon, PHD is currently practicing.
Is Wallace J Jackmon, PHD accepting new patients?
Wallace J Jackmon, PHD may be accepting new patients. Please call their office at (605) 322-5700 to inquire about availability.
Is NPI 1427020957 still active?
Yes, NPI 1427020957 is currently active.
Where does Wallace J Jackmon, PHD practice?
Wallace J Jackmon, PHD practices in SIOUX FALLS, SD.
Is Wallace J Jackmon, PHD a male or female doctor?
Wallace J Jackmon, PHD is a male doctor.