Lori Beth Jackson, PSY.D. Valid NPI
Individual provider · Clinical Psychologist · Fort Campbell, KY
- NPI
- 1902188667
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Psychologist (Psychologist)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 103TC0700X
- License number
- 1696 (AL)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2011-09-19
- Last updated
- 2025-05-09
Practice location
7149 Blacksheep Run, Blanchfield Army Community Hospital
Fort Campbell, KY 42223
(270) 798-1698