Bayside Psychological Services LLC

Organization Active NPI Community/Behavioral Health Agency · Mobile, AL

NPI 1124256789 · NPPES record last updated Jun 22, 2009

Key facts

NPI
1124256789
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
BAYSIDE PSYCHOLOGICAL SERVICES LLC
Practice address
273 Azalea Rd Ste 305
Mobile, AL 36609-1970
Phone
(251) 599-3728
NPI assigned
Jun 22, 2009
Organization subpart
No

Authorized official

Name
Dr. Jennifer M Jackson, PSYD
Title
Clinical Psychologist
Phone
(251) 599-3728

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Yes

Addresses

Primary practice location

273 Azalea Rd Ste 305
Mobile, AL 36609-1970

Mailing address

273 Azalea Rd Ste 305
Mobile, AL 36609-1970
Phone (251) 599-3728

Other providers in Mobile, AL

All providers in Mobile, AL · Community/Behavioral Health Agency in Alabama

Sources for this page

Verify at the official NPI Registry.