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DR. SUSAN M. JACKSON-WALKER PHD NPI 1124110911


NPI Information

NPI: 1124110911
Provider Name: DR. SUSAN M. JACKSON-WALKER, PHD
Classification: Psychologist - 103TC2200X
Entity Type: Individual

Specialization: Clinical Child & Adolescent

Address:
A.I. DUPONT HOSPITAL FOR CHILDREN
1600 ROCKLAND ROAD
WILMINGTON, DE
ZIP 19803
Phone: (302) 651-4000
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DR. Susan M. Jackson-walker, PHD is a clinical child and adolescent psychologist in Wilmington, DE. The provider is a psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents. DR. Susan M. Jackson-walker, PHD NPI is 1124110911. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

A.I. DUPONT HOSPITAL FOR CHILDREN
1600 ROCKLAND ROAD
WILMINGTON, DE
ZIP 19803-607
Phone: (302) 651-4000
Fax: (302) 651-4945

The enumeration date for this NPI number is 9/29/2006 and was last updated on 5/16/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0006XPediatricsDevelopmental - Behavioral PediatricsB10000648DELAWARENo
2103TC2200XPsychologistClinical Child & AdolescentB10000648DELAWAREYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1010527T34MEDICARE PIN
28919704MEDICAIDNEW JERSEY
35119049MEDICAIDMARYLAND
41913085MEDICAIDPENNSYLVANIA
5P71213MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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