Shantell Jackson
Psychologist - Mental Retardation & Developmental Disabilities
1834 Robindale St, Wickliffe
Ohio, 44092-1843
330-368-2617 Maps & DirectionsShantell Jackson is a Wickliffe, Ohio based psychologist who is specialized in Mental Retardation & Developmental Disabilities Psychology. Active license number of Shantell Jackson is 4303862 for Mental Retardation & Developmental Disabilities Psychology in Ohio. Her current practice location is 1834 Robindale St, Wickliffe. Patients can reach her at 330-368-2617. Shantell Jackson NPI number (Unique professional ID assigned by NPPES) is 1992307870.
Shantell Jackson
Complete Profile:
Shantell Jackson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Shantell Jackson |
| Specialization: | Mental Retardation & Developmental Disabilities Psychology |
| Gender: | Female |
| Practice Address: | 1834 Robindale St, Wickliffe,
Ohio, 44092-1843 |
| Phone: | 330-368-2617 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1992307870 |
| NPI Enumeration Date: | 15 Nov, 2020 |
| NPI Last Update On: | 15 Nov, 2020 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shantell Jackson are as mentioned below.
| License Number | Specialization | State | Status | |
| 4303862 | Mental Retardation & Developmental Disabilities Psychology | Ohio | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Shantell Jackson
1834 Robindale St,
Wickliffe, Ohio |
| Zip: | 44092-1843 |
| Phone Number: | 330-368-2617 |
Patients can reach Shantell Jackson at
1834 Robindale St, Wickliffe, Ohio or can
call to book an appointment on 330-368-2617.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.